Individual provider · NPI-1

Lora J Foulk

Specialist/Technologist, Other, Surgical Technologist · Saint Peters, MO

NPI number1184865974

StatusActive

Last updated in NPPESMar 9, 2009

Details

NPI: 1184865974
Entity type: Individual (NPI-1)
Name: Lora J Foulk
Sex: Female
Sole proprietor: No
Enumeration date: Mar 9, 2009
Last updated: Mar 9, 2009

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
246ZS0410X	Specialist/Technologist, Other, Surgical Technologist	–	–	Yes

Practice location

5401 Veterans Memorial Pkwy Ste 100
Saint Peters, MO 63376-1681

Phone 636-441-0906 · Fax 636-928-9288

Mailing address

12 Homefield Gardens Ct
O Fallon, MO 63366-4478

Phone 636-441-0906 · Fax 636-928-9288

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