Individual
MRS. LORI JEAN MACINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
N15019 HANNAHVILLE B1 ROAD, WILSON, MI 49896
(906) 466-2782
(906) 466-7454
Mailing address
6736 VIEW 17.5 DR, ESCANABA, MI 49829-9441
(906) 466-9212
(906) 466-7454
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704177948
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704177948
REGISTERED NURSE
MI
Enumeration date
05/23/2007
Last updated
07/08/2007
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