Individual
LORI ELLEN MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
500 S. UNIVERSITY AVE, STE 200, LITTLE ROCK, AR 72205
(501) 664-4117
(501) 664-1137
Mailing address
500 S. UNIVERSITY AVE, STE 200, LITTLE ROCK, AR 72205
(501) 664-4117
(501) 664-1137
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
C-7722
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122460001
—
AR
Enumeration date
03/15/2006
Last updated
10/11/2011
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