NPI | 1215374996 |
---|---|
Former Name | LINDSEY JO LOMMEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 61116) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: ND 14006) |
Enumeration Date | 2013-06-04 |
Last Update Date | 2016-10-04 |