Individual
LORI BALL MUSICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
107 TAZEWELL AVE, RICHLANDS, VA 24641-2250
(276) 964-7418
(276) 964-6465
Mailing address
PO BOX 700, RICHLANDS, VA 24641-0700
(276) 964-7418
(276) 964-6465
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401411850
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9202523
—
VA
Enumeration date
07/18/2007
Last updated
03/25/2008
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