Individual
LORI LEE STATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
441 E BROAD ST STE T, COOKEVILLE, TN 38501-3389
(931) 319-1325
Mailing address
PO BOX 341, MONTEREY, TN 38574-0341
(931) 319-1325
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
TN
Other
Enumeration date
08/22/2025
Last updated
08/22/2025
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