| NPI | 1881789949 |
|---|---|
| Former Name | LORI A. COURSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209-000472) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041-245291) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2021-11-22 |