Individual
LORI SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 NE 6TH ST, GRANTS PASS, OR 97526-1035
(541) 472-0021
Mailing address
1601 NE 6TH ST, GRANTS PASS, OR 97526-1035
(541) 472-0021
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201504134NP-PP
OR
Other
Enumeration date
07/17/2015
Last updated
11/08/2016
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