Provider Demographics
NPI:1982853602
Name:DORAN, LORI BETH (PSC)
Entity type:Individual
Prefix:MRS
First Name:LORI
Middle Name:BETH
Last Name:DORAN
Suffix:
Gender:F
Credentials:PSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7002 COUNTRYSIDE DR
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:KY
Mailing Address - Zip Code:41102-7619
Mailing Address - Country:US
Mailing Address - Phone:606-571-9611
Mailing Address - Fax:
Practice Address - Street 1:7002 COUNTRYSIDE DR
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:KY
Practice Address - Zip Code:41102-7619
Practice Address - Country:US
Practice Address - Phone:606-571-9611
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-17
Last Update Date:2008-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist