Individual
MRS. LORI JO MUNDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
2718 FAIR LN, DENISON, IA 51442-2592
(712) 269-9476
Mailing address
2718 FAIR LN, DENISON, IA 51442-2592
(712) 269-9476
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P34666
IA
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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