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Individual

LORIE KAY DAVIDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
624 HOSPITAL DR, MOUNTAIN HOME, AR 72653-2955
(870) 508-1000
(870) 424-3089
Mailing address
860 HIGHWAY 62 E STE 10, MOUNTAIN HOME, AR 72653-3200
(870) 424-3181
(870) 424-3089

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
214952
AR
363LF0000X
Family Nurse Practitioner
214952
AR

Other

Enumeration date
05/19/2021
Last updated
01/31/2024
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