Healthcare Provider Details
I. General information
NPI: 1003578287
Provider Name (Legal Business Name): TERRI CHRISTINE LACHER APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/06/2021
Last Update Date: 10/06/2021
Certification Date: 09/22/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2150 BROOKMEADE DR STE 130
COLUMBIA TN
38401-4088
US
IV. Provider business mailing address
117 CREEKSIDE DR
COLUMBIA TN
38401-6527
US
V. Phone/Fax
- Phone: 931-840-8525
- Fax: 931-840-8535
- Phone: 931-446-7865
- Fax: 800-307-7413
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | 30308 |
| License Number State | TN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: