Individual
MRS. LORI ELIZABETH HAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
515 STONECREST PKWY, SUITE 120, SMYRNA, TN 37167-6826
(615) 220-1122
Mailing address
1004 COLO TRL, ANTIOCH, TN 37013-4864
(615) 941-1728
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2574
TN
Other
Enumeration date
02/08/2007
Last updated
07/08/2007
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