Individual
MRS. LORI CLEO HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
3 CR 4050, MARIETTA, MS 38856
(662) 728-2408
(662) 728-2409
Mailing address
PO BOX 56, MARIETTA, MS 38856-0056
(662) 416-1631
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R857943
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07825776
—
MS
Enumeration date
03/20/2008
Last updated
07/28/2025
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