Individual
MRS. LORI B WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RM
Contact information
Practice address
2211 N WEBER ST, COLORADO SPRINGS, CO 80907-6946
(719) 460-6463
Mailing address
2011 FIELDCREST DR, COLORADO SPRINGS, CO 80921-4008
(719) 460-6463
Taxonomy
Speciality
Code
Description
License number
State
175M00000X
Lay Midwife
Primary
58
CO
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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