Individual
LORI C KSANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1201 S MILLER ST, WENATCHEE, WA 98801-3201
(096) 621-5115
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD00036838
WA
207V00000X
Obstetrics & Gynecology Physician
Primary
MD00036838
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255322095
—
WA
Enumeration date
11/01/2005
Last updated
07/14/2025
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