Individual
LORI HOLMGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11400 CONCORD VILLAGE AVE, SUITE E, SAINT LOUIS, MO 63123-6954
(314) 842-5589
(314) 842-5579
Mailing address
11400 CONCORD VILLAGE AVE, SUITE E, SAINT LOUIS, MO 63123-6954
(314) 842-5589
(314) 842-5579
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
084715
MO
Other
Enumeration date
03/05/2015
Last updated
03/05/2015
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