| Doctor Name: | MS. TERI GRACE LORENCE |
| NPI Number: | 1003932567 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | RN29741 |
| Business Practice Address: | 205 Sunnyview Ln Kalispell, MT - 599013120 |
| Business Phone Number: | 4067514189 |
| Business Fax Number: | 4067514527 |
| Mailing Address: | 590 Blacktail Rd, LAKESIDE |
| State: | MT |
| Postal Code: | 599229616 |
| Phone Number: | 4068440464 |
| Fax Number: | 4067514145 |
| NPI Enumeration Date: | 03/22/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WX0106X |
| License Number: | RN29741 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MT |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Occupational Health |
| Taxonomy Definition: | |