Individual
LORI J WENDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
480 E DIVISION ST, FOND DU LAC, WI 54935-3734
(920) 926-4100
Mailing address
420 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-8340
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
3072
WI
364S00000X
Clinical Nurse Specialist
3072
WI
Other
Enumeration date
04/19/2007
Last updated
12/02/2020
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