Individual
MRS. LORI ROARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
900 COURT ST, LYNCHBURG, VA 24504-1604
(434) 515-5350
Mailing address
432 ELMWOOD AVE, LYNCHBURG, VA 24503-4410
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202001227
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2202001227
VIRGINIA DEPARTMENT OF HEALTH PROFESSIONS
VA
Enumeration date
05/03/2018
Last updated
05/03/2018
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