Black, Lori Ann
Black, Lori Ann is an individual health care provider with primary practice located at 2425 W University Blvd Ste 102 , Durant OK 74701-2970. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Black, Lori Ann can be contacted via phone (580) 924-7330.Contact Information
Primary practice address
2425 W University Blvd Ste 102
Durant OK 74701-2970
Phone: (580) 924-7330
Fax: (580) 924-7334
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1174812879 |
|---|---|
| LBN Legal business name | Black, Lori Ann |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 4th, 2011 |
| Last updated | Feb 5th, 2024 - about 9 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174812879 | NPPES |
| Oklahoma | MEDICAID | 200049040 |
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