Individual
LORI A DALCOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
340 BOULEVARD NE, ATLANTA, GA 30312-1273
(404) 223-2229
Mailing address
340 BOULEVARD NE, ATLANTA, GA 30312-1273
(404) 223-2229
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
RN094340
GA
Other
Enumeration date
09/28/2009
Last updated
09/28/2009
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