Individual
MRS. LORI SUZANNE FROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
66 OVERLAND RT, ARDMORE, OK 73401
(580) 465-9971
(580) 276-3324
Mailing address
PO BOX 506, ARDMORE, OK 73401
(580) 465-9971
(580) 276-3324
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/22/2010
Last updated
09/06/2011
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