SearchMichigan164W00000X

Lori Wallace, LPN, RCS

NPI 1548411523 · on the registry since 2008 · sole proprietor

Practice

Address
1009 N Hemlock St
Ironwood, MI 49938
Phone
(906) 364-4247

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2008-10-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan