Provider Demographics
NPI:1255628954
Name:WEBER, LORI LEE (NP-C)
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:LEE
Last Name:WEBER
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6900 LENOX VILLAGE DRIVE SUITE #8
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211
Mailing Address - Country:US
Mailing Address - Phone:615-469-7556
Mailing Address - Fax:615-469-0833
Practice Address - Street 1:6900 LENOX VILLAGE DRIVE SUITE #8
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211
Practice Address - Country:US
Practice Address - Phone:615-469-7556
Practice Address - Fax:615-469-0833
Is Sole Proprietor?:No
Enumeration Date:2011-07-01
Last Update Date:2011-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000014734363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily