Individual
LORI J SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
1310 BROADWAY, WISCONSIN DELLS, WI 53965-1358
(608) 253-1171
(608) 253-8012
Mailing address
1310 BROADWAY, WISCONSIN DELLS, WI 53965-1358
(608) 253-1171
(608) 253-8012
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6930-033
WI
363LG0600X
Gerontology Nurse Practitioner
6930-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235588773
—
WI
Enumeration date
06/06/2016
Last updated
12/12/2020
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