Individual
LORI L. HARTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
4655N PORT WASHINGTON RD 325, GLENDALE, WI 53212-1000
(414) 269-8282
(414) 269-8280
Mailing address
4655 N PORT WASHINGTON RD, STE 325, GLENDALE, WI 53212-1004
(414) 269-8282
(414) 269-8280
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5025-33
WI
Other
Enumeration date
10/11/2012
Last updated
12/02/2015
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