Individual
LORI M MIDDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
136 MOUNTAIN PERKINS LN, SUITE 2, JACKSBORO, TN 37757-2841
(423) 562-4149
(423) 566-6929
Mailing address
125 TOWN CREEK RD E, SUITE 2B, LENOIR CITY, TN 37772-5690
(865) 986-1400
(865) 986-9400
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
17495
TN
Other
Enumeration date
03/25/2013
Last updated
03/25/2013
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