Individual
LORI INGLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
151 CAPITOL ST STE 4, AUGUSTA, ME 04330-6262
(207) 512-8549
Mailing address
151 CAPITOL ST STE 4, AUGUSTA, ME 04330-6262
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN37830
ME
Other
Enumeration date
10/05/2022
Last updated
10/05/2022
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