| NPI | 1336375211 |
|---|---|
| Former Name | LORI LYNN KUENNEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IA 40779) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: IA 40779) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IA R-8681) | |
| Enumeration Date | 2009-06-04 |
| Last Update Date | 2018-03-21 |