Montgomery, Lori Ellen
Montgomery, Lori Ellen is an individual health care provider with primary practice located at 500 S. University Ave Ste 200, Little Rock AR 72205. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Montgomery, Lori Ellen can be contacted via phone (501) 664-4117.Contact Information
Primary practice address
500 S. University Ave Ste 200
Little Rock AR 72205
Phone: (501) 664-4117
Fax: (501) 664-1137
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | C-7722 | Arkansas |
Profile Details
| NPI number | 1659340438 |
|---|---|
| LBN Legal business name | Montgomery, Lori Ellen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 15th, 2006 |
| Last updated | Oct 11th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659340438 | NPPES |
| Arkansas | MEDICAID | 122460001 |
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