Individual
LORRIE M PIERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
680 HAUL RD, SUITE B, PAGE, AZ 86040-8604
(928) 640-0245
(928) 484-2000
Mailing address
PO BOX 635, PAGE, AZ 86040-0635
(928) 640-0245
(928) 484-2000
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
232248
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
232248
—
AZ
Enumeration date
06/07/2019
Last updated
06/07/2019
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