Individual
KIERSTYN LEE LOMPREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
420 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 929-2300
Mailing address
1808 W BELTLINE HWY, MADISON, WI 53713-2334
(920) 926-8343
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
236210
WI
363L00000X
Nurse Practitioner
Primary
11105-33
WI
363LF0000X
Family Nurse Practitioner
11105-33
WI
Other
Enumeration date
06/03/2021
Last updated
08/30/2021
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