| NPI | 1659479475 |
|---|---|
| Former Name | LORI LYNN POELSTRA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: FL ME105451) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D0067850) |
| 208VP0000X (Licence: FL ME105451) | |
| 207L00000X Anesthesiology (Licence: FL ME105451) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: FL ME105451) | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: FL ME105451) | |
| 207L00000X Anesthesiology (Licence: PA md428100) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2026-01-26 |