Individual
LORI GRIM HARRIS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3207 NORTHWOOD CT, NEWTON, KS 67114-8631
(316) 283-8428
Mailing address
3207 NORTHWOOD CT, NEWTON, KS 67114-8631
(316) 283-8428
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
13-048949-051
KS
Other
Enumeration date
01/27/2006
Last updated
07/08/2007
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