Individual
MS. LORI PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
791 AQUAHART RD FL 3, GLEN BURNIE, MD 21061-3961
(410) 222-6838
Mailing address
6545 BREEZY KNOLL LN, HUNTINGTOWN, MD 20639-3201
(410) 257-7997
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R104287
MD
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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