| NPI | 1164710406 |
|---|---|
| Other Name | LORIEN P SHACK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: MI 4301099212) |
| Additional Taxonomies | 208D00000X General Practice (Licence: MI 4301099212) |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: MI 4301099212) | |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2026-02-24 |