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Individual

MRS. LORI GRISHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MT

Contact information

Practice address
751 HEBRON PKWY, SUITE 110, LEWISVILLE, TX 75057-5055
(940) 453-1597
Mailing address
109 OAKWOOD LN, HICKORY CREEK, TX 75065-7673
(940) 453-1597

Taxonomy

Speciality
Code
Description
License number
State
246QL0900X
Laboratory Management Specialist/Technologist
Primary
69721
OK

Other

Enumeration date
07/23/2015
Last updated
07/23/2015
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