Individual
LORI DALE ERDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 870, WAUTOMA, WI 54982-0870
(920) 787-4577
Mailing address
N5444 11TH DR, PLAINFIELD, WI 54966-7813
(715) 347-1645
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12057698
WI
Other
Enumeration date
07/01/2026
Last updated
07/01/2026
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