| NPI | 1861464984 | 
|---|---|
| Former Name | LORI MICHELLE WARREN | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301072113)  | 
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 036-107300)  | 
| Enumeration Date | 2006-02-02 | 
| Last Update Date | 2020-10-22 |