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1174791784
LAKIEVA TATARSHAQ TROTTER
MEMPHIS, TN
NPI
1174791784
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 12946)
Enumeration Date
2008-02-16
Last Update Date
2020-12-21
Business Address
LAKIEVA TATARSHAQ TROTTER fnp
587 S BELVEDERE BLVD
MEMPHIS, TN 38104-5002
Phone number: 901-483-2349
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Mailing Address
LAKIEVA TATARSHAQ TROTTER fnp
4460 CRESCENT PARK DR
MEMPHIS, TN 38141-7214
Phone number: 901-628-1502
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