Individual
CALEB JOSEPH LOLLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
315 HOSPITAL DR, MADISON, TN 37115-5030
(615) 868-6503
Mailing address
150 HARDAWAY DR, GOODLETTSVILLE, TN 37072-2617
(334) 449-6311
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
242441
TN
Other
Enumeration date
08/24/2021
Last updated
08/24/2021
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