Individual
LORI VANDEVOORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1630 CHIPPEWA DR, RHINELANDER, WI 54501-9503
(715) 361-5480
Mailing address
8109 HIGHWAY X, THREE LAKES, WI 54562-9285
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7144-33
WI
Other
Enumeration date
08/02/2016
Last updated
08/02/2016
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