Individual
MR. KEVIN C LOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PC
Contact information
Practice address
401 S ELM ST, APPLETON, WI 54911-5900
(920) 832-4646
(920) 832-4767
Mailing address
N158 STATE PARK RD APT 4, APPLETON, WI 54915-8788
(920) 585-8397
(920) 832-4767
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3834-125
WI
Other
Enumeration date
09/05/2014
Last updated
09/05/2014
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