Individual
MS. LORI SUE WILKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
248 FERRY LN, SAINT IGNACE, MI 49781-1828
(906) 984-2080
(906) 984-2190
Mailing address
W830 BASHORE RD, SAINT IGNACE, MI 49781-9544
(906) 298-1834
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175T00000X
—
MI
Enumeration date
06/13/2022
Last updated
06/13/2022
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