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NPI Code Detail

MEDICARE: LORI M HILLIS

MEDICARE: LORI M HILLIS
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
1225C00000XRehabilitation Counselor

General Provider Information

NPI Number : 1073870176
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORI M HILLIS
Provider Business Mailing Address
First Line : 13750 BYNUM LN
Second Line :
City : ARDMORE
State : OK
Zip : 73401-1465
Country : US
Telephone Number : 580-465-2941
Fax Number :
Provider Business Practice Location Address
First Line : 1301 KIOWA ST
Second Line :
City : ARDMORE
State : OK
Zip : 73401-2280
Country : US
Telephone Number : 580-226-9388
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2012
Last Update Date : 04/13/2012

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Directions to “ LORI M HILLIS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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