NPI | 1538305297 |
---|---|
Former Name | LORI MICHELLE LUND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: UT 288190-3102) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 264157) |
Enumeration Date | 2008-12-31 |
Last Update Date | 2008-12-31 |