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NPI Code Detail

MEDICARE: MS. LORRAINE SPIERS FNP-BC

MEDICARE: MS. LORRAINE SPIERS FNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner30705TN
2363LF0000XFamily Nurse Practitioner279940AZ

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2Z282138OTHERAZMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053078287
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LORRAINE SPIERS FNP-BC
Provider Business Mailing Address
First Line : 207 HIGHWAY 52 BYP W
Second Line :
City : LAFAYETTE
State : TN
Zip : 37083-1728
Country : US
Telephone Number : 615-688-2273
Fax Number : 615-688-2271
Provider Business Practice Location Address
First Line : 207 HIGHWAY 52 BYP W
Second Line :
City : LAFAYETTE
State : TN
Zip : 37083-1728
Country : US
Telephone Number : 615-688-2273
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/22/2021
Last Update Date : 09/30/2024

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Directions to “ MS. LORRAINE SPIERS FNP-BC” Practice Location

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