Individual
LORA PARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
818 DEER RUN BLVD, PRUDENVILLE, MI 48651-9201
(989) 387-5292
Mailing address
3894 S RESERVE RD, PRUDENVILLE, MI 48651-9328
(989) 387-5292
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703102410
MI
Other
Enumeration date
06/16/2015
Last updated
01/23/2016
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