Individual
LORI NOWLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
314 S SOUTH ST, MOUNT AIRY, NC 27030-4491
(336) 719-7129
(336) 719-7396
Mailing address
1720 S MAYO DR, STUART, VA 24171-4827
(276) 692-6120
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2305004410
VA
Other
Enumeration date
06/08/2015
Last updated
06/08/2015
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