Provider Demographics
NPI:1518794031
Name:JOYNER, LORI MAYNARD
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:MAYNARD
Last Name:JOYNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:910 TRUMAN BLVD
Mailing Address - Street 2:
Mailing Address - City:CARUTHERSVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:63830-1713
Mailing Address - Country:US
Mailing Address - Phone:573-333-5203
Mailing Address - Fax:
Practice Address - Street 1:910 TRUMAN BLVD
Practice Address - Street 2:
Practice Address - City:CARUTHERSVILLE
Practice Address - State:MO
Practice Address - Zip Code:63830-1713
Practice Address - Country:US
Practice Address - Phone:573-333-5203
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-18
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician