Individual
DR. LORI J SKIDMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
121 E HIGH ST, MONTPELIER, IN 47359-1105
(765) 728-2421
(765) 728-8564
Mailing address
121 E HIGH ST, MONTPELIER, IN 47359-1105
(765) 728-2421
(765) 728-8564
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01037751
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000179990
BLUE CROSS
IN
Enumeration date
03/27/2006
Last updated
01/20/2010
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