MRS. Lori M Wisely, MD

NPI #1508856832 in Tipton, Indiana

Provider Information

NPI Number
1508856832
Entity Type
Individual
Name
MRS. Lori M Wisely, MD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Family Medicine
Credential
MD
Enumeration Date
Oct 27, 2005
Last Updated
Nov 25, 2020

Practice Location

Address
1060 S MAIN ST;
Address 2
SUITE 4
City
Tipton
State
Indiana
ZIP Code
46072-8327
Phone
(765) 675-2069

Specialties & Taxonomy Codes

Specialty
Family Medicine

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