Individual
LORI H TRAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3805 E BELL RD STE 2400, PHOENIX, AZ 85032-2181
(602) 482-2116
(602) 482-9563
Mailing address
3805 E BELL RD STE 2400, PHOENIX, AZ 85032-2181
(602) 482-2116
(602) 482-9563
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
27954
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
691429
—
AZ
Enumeration date
01/11/2006
Last updated
10/20/2022
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