Individual
LORI PEIRCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16848 170TH ST SE, BIG LAKE, MN 55309-4606
(612) 296-1828
Mailing address
16848 170TH ST SE, BIG LAKE, MN 55309-4606
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
1065223-3-CFC
MN
Other
Enumeration date
12/03/2014
Last updated
12/03/2014
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