Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | 032277206 | TN |
NPI | 1043320609 |
---|---|
Provider Name | Lori Natalie Duncan |
First Address | Columbia, TN 38401-1004 |
Second Address | Columbia, TN 38401-1004 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2006 |
Last Update Date | 18/03/2014 |