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Individual

DR. LORA PALMER WORSHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
128 N WHITNEY AVE, COOKEVILLE, TN 38501-2493
(931) 783-4600
(931) 783-4699
Mailing address
140 W 7TH ST, COOKEVILLE, TN 38501-1726
(931) 783-5582
(931) 526-6760

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
49321
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6020480
BCBS
TN
05
7100420790
KY
05
Q007504
TN
Enumeration date
05/26/2011
Last updated
05/26/2022
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