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
ZIP Code
72076-4207
Phone
(501) 985-9944

Specialties & Taxonomy Codes

Specialty
Technician, Other

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