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Individual

LORI WALDERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
C.N.M, F. N. P

Contact information

Practice address
3 CENTURY AVE, HUTCHINSON, MN 55350
(320) 587-2020
(320) 484-4686
Mailing address
3 CENTURY AVE, HUTCHINSON, MN 55350
(320) 587-2020
(320) 484-4686

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP3348
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
262308100
MN
Enumeration date
10/11/2005
Last updated
11/01/2016
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