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Individual

LUCILLE R VARA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN-BC

Contact information

Practice address
10800 PARKSIDE DR STE 331, KNOXVILLE, TN 37934-1922
(865) 392-3400
(865) 392-3449
Mailing address
10800 PARKSIDE DR STE 331, KNOXVILLE, TN 37934-1922
(865) 392-3400
(865) 392-3449

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN0000014903
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1520827
TN
Enumeration date
05/18/2010
Last updated
01/22/2019
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