Individual
DR. LOLA WINN O'RENICK
Active
Individual
DR. LOLA WINN O'RENICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
01736
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22009014
BLUE CROSS BLUE SHIELD
MO
05
—
498502400
—
MO
05
—
758502405
—
MO
Enumeration date
08/23/2005
Last updated
11/17/2012
Update your record
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