Individual
LORI A BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.N.P.
Contact information
Practice address
1000 W NIFONG BLVD, COLUMBIA, MO 65203-5615
(573) 884-5191
(573) 884-0380
Mailing address
PO BOX 7687, COLUMBIA, MO 65205-7687
(573) 882-2259
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
120724
MO
Other
Enumeration date
03/22/2011
Last updated
08/16/2022
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