Individual
MRS. LORI ANN VERBURGT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CDE
Contact information
Practice address
8901 W. LINCOLN AVE, WEST ALLIS, WI 53227-9983
(414) 328-6218
(414) 328-6210
Mailing address
8901 W. LINCOLN AVE, WEST ALLIS, WI 53227-9983
(414) 328-6218
(414) 328-6210
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
66404-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
66404-030
WISCONSIN DEPT OF REGULATION AND LICENSING
WI
Enumeration date
07/15/2008
Last updated
07/15/2008
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