| NPI | 1780905703 |
|---|---|
| Former Name | LORI LYNN VALES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 256251) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 256251) |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2022-09-20 |