MS. Lori Ann Petal

NPI #1023696069 in Wasilla, Alaska

Provider Information

NPI Number: 1023696069
Entity Type: Individual
Name: MS. Lori Ann Petal
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Enumeration Date: Mar 31, 2021
Last Updated: Mar 31, 2021

Practice Location

Address: 1363 W SPRUCE AVE
City: Wasilla
State: Alaska
ZIP Code: 99654-5327
Phone: (907) 376-2411

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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