Lori Holmgren RN

NPI 1760875454 - Community Health Worker - 172V00000X

NPI Details
NPI 1760875454
Gender Female
Enumeration Date 03/05/2015
Last Updated 03/05/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
11400 CONCORD VILLAGE AVE
SUITE E
SAINT LOUIS MO, 63123-6954, US
Phone (314) 842-5589
Fax (314) 842-5579
Business Location
11400 CONCORD VILLAGE AVE
SUITE E
SAINT LOUIS MO, 63123-6954, US
Phone (314) 842-5589
Fax (314) 842-5579
Toxanomy
Taxonomy Code 172V00000X
License State Missouri
License Number 084715
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According to our database, Lori Holmgren RN NPI is 1760875454, taxonomy code is 172V00000X and license number is 084715, license state is located at Missouri. Lori Holmgren RN physically located at 11400 Concord Village Ave, Saint Louis MO, 63123-6954. NPI Number Lori Holmgren RN has the Individual type.

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1760875454 NPI number is provided on an as is basis without warranty of any kind. 1760875454 is maintained by the National Plan & Provider Enumeration System. The contents of Lori Holmgren RN are for informational purposes only.