Individual
MS. LORI DEPREZ KING
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN, APNP
Contact information
Practice address
305 E 12TH ST, KAUKAUNA, WI 54130-2865
(920) 766-4656
(920) 766-4659
Mailing address
305 E 12TH ST, KAUKAUNA, WI 54130-2865
(920) 766-4656
(920) 766-4659
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
423
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43819300
—
WI
Enumeration date
05/10/2006
Last updated
07/08/2007
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