Individual
MS. LORI E. WEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3950 KRESGE WAY, #207, LOUISVILLE, KY 40207
(502) 893-0220
(502) 893-0563
Mailing address
PO BOX 950296, LOUISVILLE, KY 40295-0296
(502) 893-0220
(502) 893-0563
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
4164P
KY
363L00000X
Nurse Practitioner
Primary
4164P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4164P
LICENSE
KY
05
—
78012168
—
KY
Enumeration date
06/14/2006
Last updated
01/26/2015
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