| NPI | 1316188311 |
|---|---|
| Former Name | LORI S ADDISON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: FL PO3334) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO3334) |
| Enumeration Date | 2009-03-20 |
| Last Update Date | 2020-05-22 |