Individual
MRS. LORI CHRISTINE HANNON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MS PT
Contact information
Practice address
1510 LAKESHORE DR, HOT SPRINGS, AR 71913
(501) 760-7440
(501) 760-7442
Mailing address
PO BOX 21729, HOT SPRINGS, AR 71903
(501) 760-7440
(501) 760-7442
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
2260
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13597S721
—
AR
01
—
5U241
BCBS
AR
Enumeration date
04/28/2006
Last updated
07/08/2007
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