| NPI | 1871825331 |
|---|---|
| Former Name | LORI C KRUG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MO 2009036455) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: KS 2187) |
| Enumeration Date | 2010-02-09 |
| Last Update Date | 2017-02-07 |