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Individual

MRS. LORI JANINE FORD

Active
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Individual

MRS. LORI JANINE FORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
19431
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
100014379
RRMC
OK
05
10086280A
OK
01
50178555001
BCBS
OK
Enumeration date
09/22/2005
Last updated
08/03/2012
Update your record

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