Individual
LORI KOMISAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN-BSN
Contact information
Practice address
9252 N GREEN BAY RD, BROWN DEER, WI 53209-1104
(414) 527-5261
Mailing address
9252 N GREEN BAY RD, MILWAUKEE, WI 53209-1104
(414) 527-5261
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
85501-30
WI
Other
Enumeration date
07/18/2018
Last updated
07/18/2018
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