| NPI | 1104880558 |
|---|---|
| Other Name | LORNA GAYE MCCOLLUM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: MI 4301-053445) |
| Additional Taxonomies | 208D00000X General Practice (Licence: MI 053445) |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2021-03-04 |