Individual
LORI FLOYD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16885 MARTINSVILLE HWY, AXTON, VA 24054-1929
(276) 252-3632
Mailing address
16885 MARTINSVILLE HWY, AXTON, VA 24054-1929
(276) 252-3632
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0167976110
—
VA
Enumeration date
01/25/2019
Last updated
01/25/2019
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