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Lori A Blackburn, PAC
Medical Physician Assistant in Morristown, Tennessee
NPI 1780791749

Lori A Blackburn is a Medical Physician Assistant based in Morristown, TN and is specialized in Medical. Lori A Blackburn practices in Morristown, TN and has the professional credentials of PAC. The NPI Number for Lori A Blackburn is 1780791749 and holds a License No. 1739 (Tennessee).

The current practice location address for Lori A Blackburn is 305 N Bellwood Rd, Morristown, TN and can be reached out via phone at 423-587-8300 and via fax at 423-289-1609.

Location: 305 N Bellwood Rd, Morristown, TN, 37814-1120
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780791749
Provider Name
Lori A Blackburn
Credential
PAC
Provider Entity Type
Individual
Gender
Female
Address
305 N Bellwood Rd, Morristown, TN, 37814-1120
Phone Number
423-587-8300
Fax Number
423-289-1609
Provider Enumeration Date
08/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1521156 05 TN
institution
Provider Business Practice Location Address Details
Address
305 N Bellwood Rd
City
Morristown
State
Tennessee
Zip
37814-1120
Phone Number
423-587-8300
Fax Number
423-289-1609
person
Provider Business Mailing Address Details
Address
305 N Bellwood Rd
City
Morristown
State
Tennessee
Zip
37814-1120
Phone Number
423-587-8300
Fax Number
423-289-1609
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
1739 (Tennessee)
Definition
Definition to come...
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