Individual
DR. LORI ANGELINA KINGSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1800 10TH AVE, SUITE F, COLUMBUS, GA 31901-1513
(706) 320-8689
(706) 320-8609
Mailing address
PO BOX 1038, COLUMBUS, GA 31902-1038
(706) 320-8689
(706) 320-8609
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
052974
GA
Other
Enumeration date
09/20/2006
Last updated
05/12/2010
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