Individual
MISS LORRIE J. CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1011 BRITTANY PARK DR, ANTIOCH, TN 37013-3668
(615) 516-5132
Mailing address
1011 BRITTANY PARK DR, ANTIOCH, TN 37013-3668
(615) 516-5132
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
036697
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036697
LICENSE PRACTICAL NURSE
TN
Enumeration date
10/26/2010
Last updated
10/26/2010
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