Individual
LISA ROSE COPELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
121 S DIXIE AVE, COOKEVILLE, TN 38501-3401
(931) 528-2531
(931) 526-7451
Mailing address
3308 MIRANDY RD, COOKEVILLE, TN 38506-8644
(931) 537-9303
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN0000032949
TN
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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