Lore Beth Wootton, M.D.

NPI #1649365404 in Weiser, Idaho

Provider Information

NPI Number: 1649365404
Entity Type: Individual
Name: Lore Beth Wootton, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Oct 4, 2006
Last Updated: Jul 15, 2008

Practice Location

Address: 683 E 3RD ST
City: Weiser
State: Idaho
ZIP Code: 83672-2248
Phone: (208) 549-0211

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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