Individual
LORI WELKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
110 W MCCLURE AVE, PEORIA, IL 61604-3634
(309) 419-8996
(309) 966-3928
Mailing address
3115 WICKERSHAM RD, CHARLOTTE, NC 28211-3224
(503) 956-8591
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085004965
IL
363AM0700X
Medical Physician Assistant
0010-08166
NC
Other
Enumeration date
10/23/2007
Last updated
11/11/2025
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