Individual
MRS. LORI JANINE FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
384 S 33RD ST, SUITE B, MUSKOGEE, OK 74401-5065
(918) 682-0700
(918) 682-7317
Mailing address
384 S 33RD ST, SUITE B, MUSKOGEE, OK 74401-5065
(918) 682-0700
(918) 682-7317
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
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