Individual
LORI JANEL HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA, RT(R)
Contact information
Practice address
601 JOHN ST, KALAMAZOO, MI 49007-5341
(269) 341-6380
Mailing address
10812 VIDZEME RD, THREE RIVERS, MI 49093-9510
(269) 325-7190
Taxonomy
Speciality
Code
Description
License number
State
243U00000X
Radiology Practitioner Assistant
Primary
15MI1488
MI
Other
Enumeration date
06/01/2017
Last updated
06/01/2017
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