Individual
LORA L. CARPENTIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
10400 75TH ST, KENOSHA, WI 53142-7884
(262) 942-9644
Mailing address
3003 W GOOD HOPE RD, MILWAUKEE, WI 53209-2042
(414) 352-3100
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5355
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100031623
—
WI
Enumeration date
07/26/2013
Last updated
02/08/2023
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