Individual
LANA SHOULDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
301 W MAIN ST, WAVERLY, TN 37185-1512
(931) 299-7378
(931) 299-7399
Mailing address
515 MADISON ST APT 153, NASHVILLE, TN 37208-1661
(630) 649-1530
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2803
TN
Other
Enumeration date
07/22/2015
Last updated
07/05/2021
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