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Individual
LORENA LISSETTE WILSON
Active
Individual
LORENA LISSETTE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
0024168613
VA
363LA2200X
Adult Health Nurse Practitioner
1005179
DC
363LA2200X
Adult Health Nurse Practitioner
Primary
R180385
MD
Other
Enumeration date
01/16/2009
Last updated
03/18/2020
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