Proctor, Lori M

Proctor, Lori M is an individual health care provider with primary practice located at 5301 Virginia Way Suite 300, Brentwood TN 37027-7541. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Proctor, Lori M can be contacted via phone (615) 695-4977.

Contact Information

Primary practice address
5301 Virginia Way Suite 300 Brentwood TN 37027-7541
Phone: (615) 695-4977
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 41842 Tennessee

Profile Details

NPI number 1184634214
LBN Legal business name Proctor, Lori M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated May 16th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184634214 NPPES
Georgia Other 55427 GA
Georgia Other 164669500 GA
Georgia Other 164669500 GA
Georgia MEDICAID 675737865 GA
Georgia Other 4149079 GA
Georgia Other 41842 GA
Georgia MEDICAID 3000029 GA
Georgia Other 8272039 GA
Georgia Other 52207348 GA

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