Individual
MRS. LORI K KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
11010 HARBOR BAY DRIVE, FORTVILLE, IN 46040
(317) 694-0685
(317) 482-0073
Mailing address
PO BOX 263, MC CORDSVILLE, IN 46055-0263
(317) 694-0685
(317) 482-0073
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22003208A
IN
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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