Individual
MRS. LORI ANN FIRESTONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3555 KEITH ST NW, SUITE 102, CLEVELAND, TN 37312-4375
(423) 728-2282
Mailing address
3555 KEITH ST NW, SUITE 102, CLEVELAND, TN 37312-4375
(423) 728-2282
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN116297
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APN7647
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4186544
BCBS
TN
Enumeration date
01/30/2007
Last updated
07/21/2009
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