Provider Information for 1760619290
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LORI A. WINTER LP
Other Names:Other Name:LORI A TINGLE LPSex: Female
NPI: 1760619290
Last Updated: 2024-09-23
Certification Date: 2024-09-23
Certification Date: 2024-09-23
Details
| Name | Value | ||||||||||||
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| NPI | 1760619290 | ||||||||||||
| Enumeration Date | 2009-06-11 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 678 90TH AVE LUVERNE, MN 56156-4184 United States Phone: 605-360-5690 | Fax:800-878-8212 | ||||||||||||
| Primary Practice Address | 678 90TH AVE LUVERNE, MN 56156-4184 United States Phone: 605-360-5690 | Fax:800-878-8212 | ||||||||||||
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