Individual
LORI DEWITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN, CPN
Contact information
Practice address
206 LAKE, PARKIN, AR 72373
(870) 755-2737
(870) 755-2740
Mailing address
206 LAKE ST, PARKIN, AR 72373
(870) 755-2737
(870) 755-2740
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R074282
AR
Other
Enumeration date
08/14/2015
Last updated
08/14/2015
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