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General NPI Number Information
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NPI Number | 1679854103
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Entity Type | Individual
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Provider Name | LORI ANN THOMAS-STEWARD D.O.
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Gender | Female
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Dates
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Enumeration Date | 08/29/2011
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Last Update Date | 11/12/2025
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Provider Practice Location Address
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Address Line | 753 HUMBLE DR STE B
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City | COOKEVILLE
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State | TN
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Zip | 38501-4202
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Country | US
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Telephone | 931-520-1800
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Fax | 931-372-1786
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Provider Business Mailing Address
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Address Line | PO BOX 3226
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City | COOKEVILLE
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State | TN
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Zip | 38502-3226
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Country | US
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Telephone | 931-520-1800
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Fax | 931-372-1786
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 2514
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License Number State | TN
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