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1487377453
LORI NICHOLE WILSON
LOUISVILLE, KY
NPI
1487377453
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 3018342)
Enumeration Date
2022-09-23
Last Update Date
2024-02-20
Business Address
LORI NICHOLE WILSON FNP-C
7926 PRESTON HWY STE 106
LOUISVILLE, KY 40219-3848
Phone number: 502-964-4357
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Mailing Address
LORI NICHOLE WILSON FNP-C
PO BOX 776351
CHICAGO, IL 60677-6351
Phone number: 502-588-9490
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