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Individual

DORA ORENA LASHLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
503 N DESLOGE DR, DESLOGE, MO 63601-3223
(573) 518-0333
(573) 518-0333
Mailing address
503 N DESLOGE DR, DESLOGE, MO 63601-3223
(573) 518-0333
(573) 518-0333

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
LC1052915
MO
253Z00000X
In Home Supportive Care Agency
Primary
LC1052915
MO

Other

Enumeration date
10/19/2010
Last updated
10/19/2010
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