Individual
LORI D FORTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
320 LUZERNE ST, MOUNT IDA, AR 71957-9437
(870) 867-2175
(479) 234-4445
Mailing address
PO BOX 21850, HOT SPRINGS, AR 71903-1850
(870) 867-2175
(479) 234-4445
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A03657
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
190992758
—
AR
Enumeration date
02/29/2012
Last updated
07/09/2025
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