Individual
MISS LORRIE CAROL FREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
W6125 HWY F, BROWNSVILLE, WI 53006-1114
(920) 583-4009
Mailing address
W6125 HWY F, BROWNSVILLE, WI 53006-1114
(920) 583-4009
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
104999-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39862500
—
WI
Enumeration date
04/21/2009
Last updated
04/21/2009
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