Lori Suzanne Frock, RN
Psychiatric Residential Treatment Facility in Ardmore, OK. Individual provider (NPI-1).
NPI number1760782882
StatusActive
Last updated in NPPESSep 6, 2011
Details
- NPI
- 1760782882
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Lori Suzanne Frock
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 22, 2010
- Last updated
- Sep 6, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 323P00000X | Psychiatric Residential Treatment Facility | – | – | Yes |
Practice location
66 Overland RtArdmore, OK 73401
Phone 580-465-9971 · Fax 580-276-3324
Mailing address
Po Box 506Ardmore, OK 73401
Phone 580-465-9971 · Fax 580-276-3324
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