Individual
LORI L HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
3807 SPRING ST, 3RD FLOOR-EAST WING, RACINE, WI 53405-1667
(262) 687-8300
(262) 687-8797
Mailing address
3807 SPRING ST, 3RD FLOOR-EAST WING, RACINE, WI 53405-1667
(262) 687-8300
(262) 687-8797
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3177
WI
Other
Enumeration date
08/24/2007
Last updated
08/24/2007
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