Individual
LORI HERBST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1150 OAK ST, DUBUQUE, IA 52003-7461
(563) 580-9774
Mailing address
1150 OAK ST, DUBUQUE, IA 52003-7461
(563) 580-9774
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000158
IA
Other
Enumeration date
08/14/2006
Last updated
07/08/2007
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