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Individual

DR. LORI J WELLS

Active
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Individual

DR. LORI J WELLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01039309A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000082130
ANTHEM-351158723
IN
01
000000093035
ANTHEM-352047427
IN
01
000000492369
ANTHEM 203778927
IN
01
002391
SIHO-352047427
IN
01
005570
SIHO-351158723
IN
01
052995
HEALTH ALLIANCE-351158723
IN
01
071706
HEALTH ALLIANCE-352047427
IN
05
100218850
IN
01
300092225
RR MEDICARE-352047427
IN
01
300100887
RR MEDICARE-351158723
IN
01
Q0084714
CMOSHO351158723&352047427
IN
Enumeration date
12/13/2005
Last updated
07/11/2023
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