Individual
DR. LORI ANN HAWKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
400 MAIN ST, BELPRE, OH 45714-1616
(740) 423-8416
(740) 423-8424
Mailing address
400 MAIN ST, BELPRE, OH 45714-1616
(740) 423-8416
(740) 423-8424
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30-021084
OH
1223G0001X
General Practice Dentistry
3436
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30-021084
OHIO DENTAL LICENSE
OH
01
—
3436
WV DENTAL LICENSE
WV
Enumeration date
01/31/2007
Last updated
07/08/2007
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