Individual
LORI ANN ERVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
632 SLATE AVE, OWINGSVILLE, KY 40360-2206
(606) 674-6386
(606) 674-3096
Mailing address
PO BOX 1120, OWINGSVILLE, KY 40360-1120
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
021400
OH
363L00000X
Nurse Practitioner
Primary
3011494
KY
363LF0000X
Family Nurse Practitioner
110523
WV
Other
Enumeration date
10/11/2017
Last updated
09/13/2021
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