Individual
LORI A MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1 BALLWIN COMMONS CIR, BALLWIN, MO 63021-8845
(636) 227-8950
Mailing address
1 BALLWIN COMMONS CIR, BALLWIN, MO 63021-8845
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/31/2020
Last updated
01/31/2020
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