Lori Nettles

NPI #1588108559 in Cressona, Pennsylvania

Provider Information

NPI Number: 1588108559
Entity Type: Individual
Name: Lori Nettles
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Dec 11, 2016
Last Updated: Dec 11, 2016

Practice Location

Address: 106 SPRUCE ST
City: Cressona
State: Pennsylvania
ZIP Code: 17929-1044
Phone: (570) 294-4386

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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