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Individual

SAGAN LASHA COOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
601 HIGHWAY 52 BYP E, LAFAYETTE, TN 37083-1009
(615) 666-2142
(615) 666-6135
Mailing address
601 HIGHWAY 52 BYP E, LAFAYETTE, TN 37083-1009
(615) 666-2142
(615) 666-6135

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN0000084646
TN

Other

Enumeration date
11/15/2017
Last updated
11/15/2017
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