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NPI Code Detail

MEDICARE: LORI LAMITINA, D.C., P.A.

MEDICARE: LORI LAMITINA, D.C., P.A.
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
1111N00000XChiropractor1550AR

General Provider Information

NPI Number : 1649224221
Entity Type Code : Organization
Provider Name (Legal Business Name) : LORI LAMITINA, D.C., P.A.
Provider Business Mailing Address
First Line : P.O. BOX 250225
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72225
Country : US
Telephone Number : 501-664-6664
Fax Number : 501-664-6614
Provider Business Practice Location Address
First Line : 1405 N PIERCE ST
Second Line : SUITE 210
City : LITTLE ROCK
State : AR
Zip : 72207-5349
Country : US
Telephone Number : 501-664-6664
Fax Number : 501-664-6614
Authorized Official
Title or Position : OWNER/PRESIDENT
Name : LORI LAMITINA NICHOLSON
Credential : D.C.
Telephone Number : 501-664-6664
Provider Enumeration Date : 05/19/2006
Last Update Date : 01/14/2011

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Directions to “LORI LAMITINA, D.C., P.A. ” Practice Location

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