Bacon, Lori

Bacon, Lori is an individual health care provider with primary practice located at 410 S Avalon St , West Memphis AR 72301-4183. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Bacon, Lori can be contacted via phone (870) 702-7300.

Contact Information

Primary practice address
410 S Avalon St West Memphis AR 72301-4183
Fax: (870) 702-7390
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1700158953
LBN Legal business name Bacon, Lori
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2012
Last updated Apr 8th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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