Individual
LORI NORGAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11931 W BLUEMOUND RD, WAUWATOSA, WI 53226-3967
(414) 881-0980
Mailing address
4318 VALLEY VIEW LN, WATERFORD, WI 53185-3936
(414) 881-0980
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
196-146
WI
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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