Individual
LORA SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17273 STATE ROUTE 104, CHILLICOTHE, OH 45601-9718
(740) 773-1141
Mailing address
1625 STANDPIPE RD, JACKSON, OH 45640-9539
(740) 710-0197
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
51.013804
OH
Other
Enumeration date
10/11/2022
Last updated
10/11/2022
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