Individual
AMRA LORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4455 S 108TH ST, GREENFIELD, WI 53228-2504
(414) 427-5310
Mailing address
4455 S 108TH ST, GREENFIELD, WI 53228-2504
(414) 427-5310
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
17954-33
WI
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
WI
Other
Enumeration date
10/14/2025
Last updated
03/23/2026
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