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Individual

LORRAINE M HUET-HOLM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
3808
SD
207R00000X
Internal Medicine Physician
Primary
3808
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6630520
SD
Enumeration date
08/08/2006
Last updated
05/01/2012
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