| NPI | 1396002259 |
|---|---|
| Other Name | LOREN E WALWYN-TROSS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: NE 27480) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2012-04-17 |
| Last Update Date | 2020-01-10 |