Individual
RATANA LAURIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3213 CREEKWOOD LN, LAKELAND, TN 38002-8226
(253) 226-9793
Mailing address
3213 CREEKWOOD LN, LAKELAND, TN 38002-8226
(253) 226-9793
Taxonomy
Speciality
Code
Description
License number
State
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
Primary
454308
TN
Other
Enumeration date
05/26/2020
Last updated
05/26/2020
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