Individual
LORI BACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3333 SPRINGHILL DR, NORTH LITTLE ROCK, AR 72117-2922
(501) 202-6800
Mailing address
11001 EXECUTIVE CENTER DR, STE. 200, LITTLE ROCK, AR 72211-4316
(501) 812-7589
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
E2154
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140205001
—
AR
Enumeration date
09/21/2006
Last updated
05/19/2008
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