Individual
DR. TERESA JUNE BURNETTE LORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
505 NE 87TH AVE STE 320, VANCOUVER, WA 98664-1965
(360) 514-2550
(360) 514-1927
Mailing address
2205 PAVILION DR, SUITE 101, KINGSPORT, TN 37660-4641
(423) 857-6466
(423) 857-6456
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD61401415
WA
207RX0202X
Medical Oncology Physician
51856
TN
207V00000X
Obstetrics & Gynecology Physician
RTP001763
GA
Other
Enumeration date
03/30/2007
Last updated
05/21/2024
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