Individual
STACY LYNN DORMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
275 CUMBERLAND BND, NASHVILLE, TN 37228-1805
(615) 743-1571
Mailing address
275 CUMBERLAND BND, NASHVILLE, TN 37228-1805
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN0000073645
TN
Other
Enumeration date
04/08/2009
Last updated
04/08/2009
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