Individual
LORI MICHELLE WOODBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
9875 W LINCOLN HWY, SUITE 103, FRANKFORT, IL 60423-1930
(815) 469-9336
(815) 469-1694
Mailing address
9875 WEST LINCOLN HIGHWAY-SUITE 103, FRANKFORT, IL 60423
(708) 469-9336
(815) 469-1694
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019026698
IL
Other
Enumeration date
08/04/2006
Last updated
01/24/2017
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