Individual
LORIE L BATEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
259 N PETERS RD STE 103, KNOXVILLE, TN 37923-4923
(865) 690-1255
Mailing address
8033 RAY MEARS BLVD, KNOXVILLE, TN 37919
(865) 670-2383
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004305
GA
363AM0700X
Medical Physician Assistant
2679
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051787607A
—
GA
05
—
051787607B
—
GA
Enumeration date
03/06/2007
Last updated
06/28/2023
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