Individual
LORI WOOD SUDDUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
203 US HIGHWAY 80 W, DEMOPOLIS, AL 36732-4103
(334) 289-1517
(334) 289-8353
Mailing address
203 US HIGHWAY 80 W, P O BOX 935, DEMOPOLIS, AL 36732-4103
(334) 289-1517
(334) 289-8353
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F0615677
AL
Other
Enumeration date
07/16/2015
Last updated
07/16/2015
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