Individual
DR. LONNIE BRADLEY MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
340 NEW TOWNE RD, BOWLING GREEN, KY 42103-7966
(270) 782-7768
Mailing address
340 NEW TOWNE RD, BOWLING GREEN, KY 42103-7966
(270) 782-7768
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
45024
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12369402
CAQH
KY
05
—
7100166510
—
KY
Enumeration date
07/10/2008
Last updated
11/08/2012
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