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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LORI NETTLES

Active Sole Proprietor

LORI NETTLES is a Specialist healthcare provider located in CRESSONA, Pennsylvania. NPI 1588108559 is currently active in the NPPES registry. Verify at CMS.

Specialist · CRESSONA, PA

Registration Details

NPI Number
1588108559
Provider Type
Individual
Gender
Female
NPI Issued
Dec 11, 2016 (9.6741003774793 yrs)
Last Updated
Dec 11, 2016
License
OP007211 (PA)
Sole Proprietor
Yes

Practice Information

Address
106 SPRUCE ST
CRESSONA, PA, 179291044
Browse PA providers · Browse ZIP 17929
Phone
5702944386
Primary Specialty
Specialist
174400000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.