Individual
LORI DAVIS-NETTLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 W LINCOLN RD, KOKOMO, IN 46902
(765) 453-5696
(765) 455-4323
Mailing address
PO BOX 549, WABASH, IN 46992-0549
(765) 453-5696
(765) 455-4323
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
174001470
IN
Other
Enumeration date
09/27/2016
Last updated
08/15/2018
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