Individual
LORI SUE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.R.N.
Contact information
Practice address
404 N KEENE ST, COLUMBIA, MO 65201-6626
(573) 499-6088
Mailing address
12 RECENT CT, CAMDENTON, MO 65020-2465
(573) 280-7001
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
2013036525
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2013036525
LICENSE CNM
MO
Enumeration date
11/19/2013
Last updated
08/16/2022
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