Individual
LORI IRENE WENTZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, PHN
Contact information
Practice address
3001 MAPLE RD, SLAYTON, MN 56172-4500
(507) 836-6486
Mailing address
3001 MAPLE RD, SLAYTON, MN 56172-4500
(507) 836-6486
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R 186094-8
MN
Other
Enumeration date
09/23/2013
Last updated
09/23/2013
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