Individual
LORISSA LYNN DEIBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
350 58TH ST NE, TOWNER, ND 58788-5400
(701) 537-5800
Mailing address
350 58TH ST NE, TOWNER, ND 58788-5400
(701) 537-5800
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
72785
ND
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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