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Individual

LORI K TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
558 1ST SOUTH ST, WOODVILLE, MS 39669-3777
(601) 888-7944
(607) 888-4767
Mailing address
558 1ST SOUTH ST, WOODVILLE, MS 39669-3777
(601) 888-7944
(607) 888-4767

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OTO649
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00122865
MS
Enumeration date
10/10/2006
Last updated
04/03/2008
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