Individual
LORI A STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 LIBERTY ST, KNOXVILLE, TN 37921-6635
(865) 363-1254
Mailing address
714 SKYLINE DR, CLINTON, TN 37716-2213
(865) 363-1254
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
129614
TN
Other
Enumeration date
02/27/2018
Last updated
02/27/2018
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