Individual
DR. LORI DESOUTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5185 PEACHTREE PKWY, SUITE 330, PEACHTREE CORNERS, GA 30092
(770) 476-9885
(770) 476-8482
Mailing address
5185 PEACHTREE PKWY, SUITE 330, PEACHTREE CORNERS, GA 30092
(770) 476-9885
(770) 476-8482
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
037985
GA
Other
Enumeration date
07/14/2005
Last updated
06/05/2018
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