Individual
LORI ANN ELLERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CST
Contact information
Practice address
5200 HUMMINGBIRD RD, STE 100, WAUSAU, WI 54401-6312
(715) 359-6442
(715) 393-0390
Mailing address
5200 HUMMINGBIRD RD, STE 100, WAUSAU, WI 54401-6312
(715) 359-6442
(715) 393-0390
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
130260
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130260
CERTIFIED SURGICAL TECHNICIAN
WI
Enumeration date
03/27/2012
Last updated
03/27/2012
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