Lori A Blackburn in Morristown - Medical

Lori A Blackburn - NPI 1780791749

Lori A Blackburn is a Medical in Morristown, Tennessee. Lori A Blackburn practices all healthcare services and medical treatments related to Medical. The NPI Number for Lori A Blackburn is 1780791749. The last update date is 2020-09-01.

Lori A Blackburn's current location address is 305 N Bellwood Rd, Morristown, Tennessee. You can contact this provider via phone number 4235878300 and fax number 4232891609. The mailing address for Lori A Blackburn is 305 N Bellwood Rd, Morristown, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Lori A Blackburn
Address 305 N Bellwood Rd, Morristown, Tennessee
Phone Number 4235878300
Fax Number 4232891609
Sole Proprietor N
Credentials PAC

NPI Number Detail

NPI Number 1780791749
Provider Enumeration Date 2006-08-24
Last Updated Date 2020-09-01

Provider Mailing Address Detail

Address 305 N Bellwood Rd
City Morristown
State Tennessee (TN)
Post Code 378141120
Phone Number 4235878300
Fax Number 4232891609

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No 1739
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1521156 TN --

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FAQs about Lori A Blackburn

What is the Lori A Blackburn's 1780791749?

The Lori A Blackburn's NPI (National Provider Identifier) Number is 1780791749. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Lori A Blackburn's facilities are geographically located?

The facilities of Lori A Blackburn are physically situated at the following location: 305 N Bellwood Rd, Morristown, TN, 378141120.

What is Lori A Blackburn's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Lori A Blackburn is Medical, and the taxonomy code that categorizes this field of expertise is 363Am0700X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1780791749 to Lori A Blackburn?

The Centers for Medicare & Medicaid Services originally issued the 1780791749 to Lori A Blackburn on 2006-08-24.

As of what date was the information regarding Lori A Blackburn, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Lori A Blackburn, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-09-01.

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