Individual
LORI HALL FORRESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4381 S EASON BLVD, SUITE 302, TUPELO, MS 38801-6583
(662) 377-5700
(662) 377-5715
Mailing address
PO BOX 8541, COLUMBUS, MS 39705-0011
(662) 889-1010
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
18777
TN
363LA2100X
Acute Care Nurse Practitioner
Primary
902001
MS
363LA2100X
Acute Care Nurse Practitioner
R877171
MS
Other
Enumeration date
06/05/2014
Last updated
05/03/2017
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