Individual
LORI M GUYTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3301 LOGAN DR, HERRIN, IL 62948-3732
(618) 993-0444
(618) 998-9302
Mailing address
3301 LOGAN DR, HERRIN, IL 62948-3732
(618) 993-0444
(618) 998-9302
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036094659
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036094659
—
IL
Enumeration date
10/26/2005
Last updated
09/10/2014
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