Individual
LORI HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
431 PARK AVE APT A14, ORANGE, NJ 07050-1823
(973) 342-3086
Mailing address
431 PARK AVE APT A14, ORANGE, NJ 07050-1823
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
191498
NY
Other
Enumeration date
02/25/2019
Last updated
02/25/2019
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