Individual
LORI ANN WINGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4545 SERGEANT RD, SIOUX CITY, IA 51106-4706
(712) 274-2400
Mailing address
4545 SERGEANT RD, SIOUX CITY, IA 51106-4706
(712) 274-2400
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
091361
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
091361
IOWA BOARD OF NURSING
IA
Enumeration date
01/07/2011
Last updated
01/10/2011
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