NPI | 1760764732 |
---|---|
Former Name | LACIE L LORKOWSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0993372-NP) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704254325) |
Enumeration Date | 2011-09-15 |
Last Update Date | 2025-06-18 |