Individual
MS. LORI FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
308 W. MLK. DR, OPELOUSAS, LA 70570
(337) 678-0209
Mailing address
934 S MARKET ST, OPELOUSAS, LA 70570-4928
(337) 945-1076
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
980259
LA
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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