Laurie Summit LPN

NPI 1760803167 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1760803167
Gender Female
Enumeration Date 01/02/2014
Last Updated 01/02/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
330 PAGEANT LN
CLARKSVILLE TN, 37040-3854, US
Phone (931) 648-5747
Fax (931) 648-7298
Business Location
330 PAGEANT LN
CLARKSVILLE TN, 37040-3854, US
Phone (931) 648-5747
Fax (931) 648-7298
Toxanomy
Taxonomy Code 164W00000X
License State Tennessee
License Number 83755
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According to our database, Laurie Summit LPN NPI is 1760803167, taxonomy code is 164W00000X and license number is 83755, license state is located at Tennessee. Laurie Summit LPN physically located at 330 Pageant Ln, Clarksville TN, 37040-3854. NPI Number Laurie Summit LPN has the Individual type.

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1760803167 NPI number is provided on an as is basis without warranty of any kind. 1760803167 is maintained by the National Plan & Provider Enumeration System. The contents of Laurie Summit LPN are for informational purposes only.