Individual
LORENA RUTH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
815 N WACO AVE STE 36, WICHITA, KS 67203-3928
(316) 946-0990
Mailing address
815 N WACO AVE STE 36, WICHITA, KS 67203-3928
(316) 946-0990
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
23-00030
KS
Other
Enumeration date
02/08/2019
Last updated
02/08/2019
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