| NPI | 1518954478 |
|---|---|
| Former Name | LORI HEPPARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 22041) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD AC000116) |
| 363L00000X Nurse Practitioner (Licence: DE LG0000330) | |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2020-08-14 |