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Individual

LORIE RASHELLE WYDOTIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, FNP-C

Contact information

Practice address
100 MEDICAL CENTER DR, PRINCETON, KY 42445-2430
(270) 365-0350
Mailing address
100 MEDICAL CENTER DR, PRINCETON, KY 42445-2430
(270) 365-0350

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1083029
KY
207RC0000X
Cardiovascular Disease Physician
Primary
3009572
KY
363LF0000X
Family Nurse Practitioner
3009572
KY

Other

Enumeration date
06/02/2015
Last updated
02/11/2025
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