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Organization
WOUNDCENTRIX, PLLC
Active
Organization
WOUNDCENTRIX, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA MARIE LORING FNP, C (CEO)
(815) 781-2608
Entity
Organization
Contact information
Practice address
11013 N WOODSTOCK ST UNIT 94, HUNTLEY, IL 60142-4404
(815) 781-2680
(815) 604-8044
Mailing address
2501 CHATHAM RD STE N, SPRINGFIELD, IL 62704-4188
(815) 781-2608
(815) 604-8044
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
Other
Enumeration date
01/11/2025
Last updated
12/01/2025
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