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Individual

MRS. LORI L BAILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
410 N 12TH ST, SUITE 100, OSKALOOSA, IA 52577-2495
(641) 672-3360
(641) 672-3356
Mailing address
410 N 12TH ST, SUITE 100, OSKALOOSA, IA 52577-2495
(641) 672-3360
(641) 672-3356

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F0703106
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0422105
IA
01
05609
BC/BS PROVIDER NUMBER
IA
01
IA0129
JOHN DEERE PROVIDER NUMBE
IA
Enumeration date
02/10/2006
Last updated
06/23/2009
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