Individual
LORI KAE LUDWIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
62024 DEAN SWIFT RD, BEND, OR 97701-6217
(541) 410-6065
Mailing address
62024 DEAN SWIFT RD, BEND, OR 97701-6217
(541) 410-6065
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
000104077
OR
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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