Individual
MRS. LORI M WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7801 ACADEMY NE, BLDG 2 SUITE 200, ALBUQUERQUE, NM 87109
(505) 273-6300
Mailing address
3236 WYOMING BLVD NE APT 11B, ALBUQUERQUE, NM 87111-9443
(505) 410-2391
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
246RH0600X
Histology Technician
—
—
Other
Enumeration date
05/16/2007
Last updated
11/01/2016
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