| NPI | 1770585317 |
|---|---|
| Former Name | LORI A HURST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01058228A) |
| Additional Taxonomies | 207QB0002X Family Medicine, Bariatric Medicine (Licence: IN 01058228A) |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2017-10-06 |