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Individual

LORI ANN WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RESPIRATORY THERAPY

Contact information

Practice address
7108 PINEVILLE MATTHEWS RD, SUITE 101, CHARLOTTE, NC 28226-8187
(704) 542-4800
(704) 542-4808
Mailing address
7108 PINEVILLE MATTHEWS ROAD, SUITE 101, CHARLOTTE, NC 28226
(704) 542-4800
(704) 542-4808

Taxonomy

Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
A-4340
NC

Other

Enumeration date
06/08/2010
Last updated
06/08/2010
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