| NPI | 1578530374 |
|---|---|
| Former Name | LORI RENEE WAMPLER-DISEATI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: VA 0101231682) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101231682) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2023-05-31 |