Individual
LORI MAGRAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1308 KINSALE CT, LOCUST GROVE, GA 30248
(770) 722-9046
Mailing address
1308 KINSALE CT, LOCUST GROVE, GA 30248
(770) 722-9046
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
004614
GA
Other
Enumeration date
09/03/2008
Last updated
09/03/2008
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