| Tera Lachelle Light, LPN | |
|
3001 Warrior Ln, Poplar Bluff, MO 63901-8685 | |
| (573) 686-1200 | |
| Not Available |
| Full Name | Tera Lachelle Light |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 3001 Warrior Ln, Poplar Bluff, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801677497 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 2012029275 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tera Lachelle Light, LPN 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 Ph: (573) 686-1200 | Tera Lachelle Light, LPN 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 Ph: (573) 686-1200 |
Ashlie Patty, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 101 S Main St, Poplar Bluff, MO 63901 Phone: 573-686-5090 | |
Amber Star Wedge, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 3001 Warrior Ln, Poplar Bluff, MO 63901 Phone: 573-686-1200 | |
Jo Anna Barker, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 3001 Warrior Ln, Poplar Bluff, MO 63901 Phone: 573-686-1200 | |
Connie Bowens, PN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 101 S Main St, Poplar Bluff, MO 63901 Phone: 573-686-5090 | |
Susan Ann Isenman, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 3001 Warrior Ln, Poplar Bluff, MO 63901 Phone: 573-686-1200 | |
Tiffany Nicole Hampton, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 101 S Main St, Poplar Bluff, MO 63901 Phone: 573-686-5090 | |
Tammy Brodie, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 3001 Warrior Ln, Poplar Bluff, MO 63901 Phone: 573-686-1200 |