Individual
DR. LORI L HAYCRAFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-5100
(615) 322-3000
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0328
(502) 588-0326
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
40018
KY
2085R0202X
Diagnostic Radiology Physician
MD40830
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
620476822
TAX ID
—
05
—
64118946
—
KY
Enumeration date
06/27/2006
Last updated
04/05/2018
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