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Lorri Wallace
NPI 1811423270 · on the registry since 2017 · sole proprietor
Practice
- Address
- 3419 Us 75 Hwy
Neodesha, KS 66757 - Phone
- (620) 330-2748
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- KS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-05-04
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 Kansas