Individual
LORI A HEUSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN RN
Contact information
Practice address
200 ABBEY SPRINGS DR, FONTANA, WI 53125-1822
(224) 622-5866
Mailing address
200 ABBEY SPRINGS DR, FONTANA, WI 53125-1822
(224) 622-5866
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
199468-30
WI
Other
Enumeration date
02/20/2014
Last updated
03/11/2014
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