Individual
LAURIE SUMMIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
330 PAGEANT LN, CLARKSVILLE, TN 37040-3854
(931) 648-5747
(931) 648-7298
Mailing address
330 PAGEANT LN, CLARKSVILLE, TN 37040-3854
(931) 648-5747
(931) 648-7298
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
83755
TN
Other
Enumeration date
01/02/2014
Last updated
01/02/2014
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