Individual
LORI B THIRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
525 AIRPORT DR, ONEIDA, WI 54155-9035
(920) 869-2711
Mailing address
525 AIRPORT DR, ONEIDA, WI 54155-9035
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4945-33
WI
Other
Enumeration date
09/02/2012
Last updated
09/02/2012
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