Individual
MS. LORI ANN MONTAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, BC, FNP
Contact information
Practice address
423 E LOGAN ST, MOBERLY, MO 65270-2222
(660) 263-6643
Mailing address
1951 W BOTNER RD, COLUMBIA, MO 65202-9462
(573) 443-3653
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
130816
MO
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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