Individual
MS. LORI G MAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TECHNICIAN
Contact information
Practice address
2227 W MAIN ST, SUITE 3, JACKSONVILLE, AR 72076-4207
(501) 985-9944
(501) 985-6590
Mailing address
2227 W MAIN ST, SUITE 3, JACKSONVILLE, AR 72076-4207
(501) 985-9944
(501) 985-6590
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
02/08/2017
Last updated
02/08/2017
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