Individual
LORIE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1410 E PITMAN AVE, WENTZVILLE, MO 63385-1910
(314) 484-8376
Mailing address
1410 E PITMAN AVE, WENTZVILLE, MO 63385-1910
(314) 484-8376
Taxonomy
Speciality
Code
Description
License number
State
2279G1100X
General Care Registered Respiratory Therapist
Primary
2015034937
MO
Other
Enumeration date
10/29/2025
Last updated
10/29/2025
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