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NPI Code Detail

MEDICARE: LORI HAMLIN LAC

MEDICARE: LORI HAMLIN LAC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorA0812101AR

General Provider Information

NPI Number : 1578836508
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORI HAMLIN LAC
Provider Business Mailing Address
First Line : 100 TOWSON AVE
Second Line :
City : FORT SMITH
State : AR
Zip : 72901-2632
Country : US
Telephone Number : 479-784-9801
Fax Number : 479-784-9805
Provider Business Practice Location Address
First Line : 100 TOWSON AVE
Second Line :
City : FORT SMITH
State : AR
Zip : 72901-2632
Country : US
Telephone Number : 479-784-9801
Fax Number : 479-784-9805
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2012
Last Update Date : 02/22/2012

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Directions to “ LORI HAMLIN LAC” Practice Location

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