Lori Wilson

NPI #1588205058 in Rosharon, Texas

Provider Information

NPI Number: 1588205058
Entity Type: Individual
Name: Lori Wilson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Registered Nurse
Enumeration Date: Oct 4, 2019
Last Updated: Oct 4, 2019

Practice Location

Address: 5512 CANYON BLUFF LN
City: Rosharon
State: Texas
ZIP Code: 77583-2091
Phone: (832) 451-5707

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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