Individual
LORI MARIE PRESTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
98 POPLAR ST, BLACKFOOT, ID 83221-1799
(208) 643-9800
(208) 785-9415
Mailing address
98 POPLAR ST, BLACKFOOT, ID 83221-1799
(208) 643-9800
(208) 785-9415
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN7827
ID
Other
Enumeration date
09/25/2025
Last updated
09/25/2025
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