Individual
MS. LORI K. HOLLINGSWORTH-BURDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9200 W WISCONSIN AVE, DEPARTMENT OF ORTHOPAEDIC SURGERY, MILWAUKEE, WI 53226-3522
(414) 805-0122
(414) 805-7499
Mailing address
9200 W WISCONSIN AVE, DEPARTMENT OF ORTHOPAEDIC SURGERY, MILWAUKEE, WI 53226-3522
(414) 805-0122
(414) 805-7499
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386652469
—
WI
Enumeration date
08/04/2006
Last updated
10/26/2012
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