Individual
LORI HUCKABY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10931 E INDEPENDENCE BLVD STE A-11, MATTHEWS, NC 28105-5057
(980) 938-6100
Mailing address
25 BELLES COVE DR APT F, POQUOSON, VA 23662-1581
(571) 492-2292
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
12/09/2019
Last updated
12/09/2019
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