Healthcare Provider Details

I. General information

NPI: 1285492850
Provider Name (Legal Business Name): LORRA BRITT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/08/2024
Last Update Date: 03/08/2024
Certification Date: 03/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 W GRAND AVE STE 101
HOT SPRINGS AR
71901-3931
US

IV. Provider business mailing address

140 RIVERS DR
HOT SPRINGS AR
71913-7015
US

V. Phone/Fax

Practice location:
  • Phone: 501-566-4749
  • Fax: 501-501-2117
Mailing address:
  • Phone: 501-596-1711
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: