Individual
MRS. LORI GRISHAM
Active
Individual
MRS. LORI GRISHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT
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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