| NPI | 1629670906 |
|---|---|
| Professional Name | LORI L VANACKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 0996028-NP) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: CO 0195493) |
| 207Q00000X Family Medicine (Licence: CO 0996028-NP) | |
| Enumeration Date | 2020-11-12 |
| Last Update Date | 2020-11-12 |