Individual
LORI WENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNC, IBCLC
Contact information
Practice address
2410 HARRISON STREET, BEAUMONT, TX 77702
(409) 781-7125
Mailing address
2410 HARRISON STREET, BEAUMONT, TX 77702
(409) 781-7125
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
534778
TX
Other
Enumeration date
10/02/2013
Last updated
10/02/2013
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