Individual
LORI GAYLE WEISC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
9915 SANDIFUR PKWY, PASCO, WA 99301-8941
(509) 546-2222
(509) 546-2202
Mailing address
9915 SANDIFUR PKWY, PASCO, WA 99301-8941
(509) 546-2222
(509) 546-2202
Taxonomy
Speciality
Code
Description
License number
State
163WX0106X
Occupational Health Registered Nurse
LP00054426
WA
164W00000X
Licensed Practical Nurse
Primary
LP00054426
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LP00054426
LICENSE
WA
Enumeration date
12/27/2007
Last updated
12/27/2007
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