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Individual

MRS. LORI ANN ELKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BC-HIS

Contact information

Practice address
359 S LANDMARK AVE, BLOOMINGTON, IN 47403-5002
(812) 334-3919
(812) 334-3919
Mailing address
215 SHUMAN BLVD, STE 401, NAPERVILLE, IL 60563-8123
(630) 303-5380
(630) 303-5385

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
17001098
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100239360K
IN
05
100239360L
IN
Enumeration date
02/01/2007
Last updated
11/06/2018
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