| Doctor Name: | MRS. LORI R HESTAND |
| NPI Number: | 1326377177 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CPNP |
| License Number: | APN0000013330 |
| Business Practice Address: | 6350 W Andrew Johnson Hwy Talbott, TN - 378778605 |
| Business Phone Number: | 4235877337 |
| Business Fax Number: | 4235860614 |
| Mailing Address: | 6350 W Andrew Johnson Hwy, TALBOTT |
| State: | TN |
| Postal Code: | 378778605 |
| Phone Number: | 4235877337 |
| Fax Number: | 4235860614 |
| NPI Enumeration Date: | 12/08/2009 |
| NPI Last Update Date: | 06/19/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | APN0000013330 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |