Individual
MRS. LORI RAE VLAZNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
101 FRANKLIN ST, MONONA, IA 52159-8092
(563) 539-5656
Mailing address
19866 200TH ST, FARMERSBURG, IA 52047-8066
(563) 783-2434
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A075048
IA
Other
Enumeration date
09/13/2017
Last updated
09/13/2017
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