Individual
LORI D MCBRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1000 HIGHWAY 35 N STE 8, BENTON, AR 72019-2353
(501) 315-4008
Mailing address
PO BOX 2860, BENTON, AR 72018-2860
(501) 315-4008
(501) 315-3411
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ATP000034
AR
Other
Enumeration date
09/22/2006
Last updated
09/11/2020
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