Individual
LORI YLITALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1105 S POKEGAMA AVE, GRAND RAPIDS, MN 55744-3905
(218) 326-9431
Mailing address
1105 S POKEGAMA AVE, GRAND RAPIDS, MN 55744-3905
(218) 326-9431
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1817111
MN
Other
Enumeration date
11/12/2019
Last updated
11/12/2019
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