Individual provider · Type 1 NPI
Lori L. Wilson, DPM
Foot & Ankle Surgery Podiatrist · Uniontown, PA
NPI number
1679578249
Active
Practice location
104 Delaware Ave, Suite 246
Uniontown, PA 15401-3100
Fax (724) 439-8727
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Contractor | 171W00000X | SC003555R (PA) |
| Foot Surgery Podiatrist | 213ES0131X | SC003555R (PA) |
| Podiatric Clinic/Center | 261QP1100X | SC003555R (PA) |
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | SC003555R (PA) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1679578249
Lori L. Wilson, DPM's National Provider Identifier is 1679578249, issued on Jun 20, 2005. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Uniontown, PA. The record was last updated on Jun 16, 2018.