Lori Payne Valid NPI

Individual provider · Pediatric Nurse Practitioner · O Fallon, MO

NPI

1336545391

Type

Individual (Type 1)

Primary specialty

Pediatric Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LP0200X

License number

2010022198 (MO)

Sex

Female

Sole proprietor

No

Enumerated

2014-11-18

Last updated

2014-11-18