Individual
LORENZANA NOEL HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSA
Contact information
Practice address
4304 CHARLOTTE AVE, SUITE #A, NASHVILLE, TN 37209
(615) 298-3384
Mailing address
PO BOX 92012, NASHVILLE, TN 37209-8012
(615) 298-3384
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
SA121
KY
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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