Individual
LORI KLASSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6428 U S HIGHWAY 11, LUMBERTON, MS 39455-7524
(601) 794-8772
Mailing address
4109 HIGHWAY 98 W, SUMMIT, MS 39666-9132
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S3012
MS
Other
Enumeration date
03/08/2011
Last updated
03/08/2011
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