Individual
MS. LORA LEE BLASIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN APNP
Contact information
Practice address
161 WASHINGTON ST. SUITE 1400, EIGHT TOWER BRIDGE, CONSHOHOCKEN, PA 19428
(866) 825-3227
(484) 726-0013
Mailing address
PO BOX 900, WALES, WI 53183-0900
(262) 646-3341
(262) 646-8731
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2102033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114066701
NPI
WI
05
—
36027800
—
WI
Enumeration date
02/06/2007
Last updated
01/20/2011
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