Doctor Name: | LAURICE A MCCORD |
NPI Number: | 1134568728 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | RN0000076081 |
Business Practice Address: | 269 Cusick Rd Ste C4 Alcoa, TN - 377013193 |
Business Phone Number: | 8652912975 |
Business Fax Number: | |
Mailing Address: | 8227 Gallaher Station Dr, KNOXVILLE |
State: | TN |
Postal Code: | 379192019 |
Phone Number: | 8653848047 |
Fax Number: | |
NPI Enumeration Date: | 06/18/2013 |
NPI Last Update Date: | 06/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0200X |
License Number: | RN0000076081 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TN |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |