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Individual

LORIEN Y SITES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2301 21ST AVE S, NASHVILLE, TN 37212-4908
(615) 327-9797
(615) 613-0329
Mailing address
2301 21ST AVE S, NASHVILLE, TN 37212-4908
(615) 327-9797
(615) 613-0329

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
44630
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
44630
MD LICENSE
TN
05
Q018723
TN
Enumeration date
01/04/2007
Last updated
03/07/2023
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