Individual
MRS. LORI DIAN DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
542 N 3RD ST, MONTGOMERY, IN 47558-5745
(812) 486-2842
(812) 486-2784
Mailing address
PO BOX 102, MONTGOMERY, IN 47558-0102
(812) 486-2842
(812) 486-2784
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28150963A
IN
363LF0000X
Family Nurse Practitioner
Primary
71009476A
IN
Other
Enumeration date
09/26/2019
Last updated
10/08/2019
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