Individual
LORI ANNE FASSLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
ONE MEMORIAL HOSPITAL, SUITE G187, ALTON, IL 62002
(618) 463-7295
Mailing address
3633 BERKELEY AVE, ALTON, IL 62002-3110
(618) 910-3644
Taxonomy
Speciality
Code
Description
License number
State
163WX0106X
Occupational Health Registered Nurse
Primary
041308028
IL
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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