Harris-Ford, Laurie A

Harris-Ford, Laurie A is an individual health care provider with primary practice located at 2199 Memorial Dr , Clarksville TN 37043. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Harris-Ford, Laurie A can be contacted via phone (931) 245-8400.

Contact Information

Primary practice address
2199 Memorial Dr Clarksville TN 37043
Fax: (931) 245-8465
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 21262 Tennessee

Profile Details

NPI number 1700867538
LBN Legal business name Harris-Ford, Laurie A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated May 3rd, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700867538 NPPES
Tennessee MEDICAID 3069046

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