Individual
BENJAMIN LORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
900 N 92ND ST, WAUWATOSA, WI 53226-1202
(414) 805-3000
Mailing address
2526 N 124TH ST APT 227, WAUWATOSA, WI 53226-1026
Taxonomy
Speciality
Code
Description
License number
State
1835X0200X
Oncology Pharmacist
Primary
22595-40
WI
Other
Enumeration date
04/14/2026
Last updated
04/14/2026
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