MS. Lori G Main, TECHNICIAN
NPI #1144768235 in Jacksonville, Arkansas
Provider Information
- NPI Number
- 1144768235
- Entity Type
- Individual
- Name
- MS. Lori G Main, TECHNICIAN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician, Other
- Credential
- TECHNICIAN
- Enumeration Date
- Feb 8, 2017
- Last Updated
- Feb 8, 2017
Practice Location
- Address
- 2227 W MAIN ST
- Address 2
- SUITE 3
- City
- Jacksonville
- State
- Arkansas
- ZIP Code
- 72076-4207
- Phone
- (501) 985-9944
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician, Other |
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