Individual
LORI ANN CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
910 N. BOGGS AVE, CENTENNIAL TOWERS, GRAND ISLAND, NE 68803
(308) 380-3130
Mailing address
34 VENUS ST, ALDA, NE 68810-9744
(308) 380-3130
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
03/17/2025
Last updated
03/17/2025
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