Individual
LORI ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
28284 COUNTY HIGHWAY CA, TOMAH, WI 54660-5210
(608) 387-0509
Mailing address
28284 COUNTY HIGHWAY CA, TOMAH, WI 54660-5210
(608) 387-0509
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
222474-30
WI
Other
Enumeration date
11/29/2016
Last updated
11/29/2016
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