Individual
LORI MANESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
151 9TH AVE NW, CHILDERSBURG, AL 35044-1231
(205) 266-8162
(256) 378-3371
Mailing address
151 9TH AVE NW, CHILDERSBURG, AL 35044-1231
(205) 266-8162
(256) 378-3371
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
1-097091
AL
Other
Enumeration date
11/24/2010
Last updated
11/24/2010
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