Individual
MS. LORI HAGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9200 W WISCONSIN AVE, DEPARTMENT OF OBSTETRICS AND GYNECOLOGY, MILWAUKEE, WI 53226-3522
(414) 805-6600
(414) 805-6622
Mailing address
9200 W WISCONSIN AVE, DEPARTMENT OF OBSTETRICS AND GYNECOLOGY, MILWAUKEE, WI 53226-3522
(414) 805-6600
(414) 805-6622
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
98656
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002000227O
HUMANA
—
05
—
1316991649
—
WI
Enumeration date
05/20/2006
Last updated
01/07/2013
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