Individual
LORI PEDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4900 COVENTRY CT, EAU CLAIRE, WI 54701-8066
(715) 559-6607
Mailing address
4900 COVENTRY CT, EAU CLAIRE, WI 54701-8066
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
12/14/2017
Last updated
06/16/2018
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