Individual
MS. KATHLEEN ANN LORENZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
88 EAST 11TH STREET, FOND DU LAC, WI 54935-5059
(920) 923-5623
Mailing address
88 EAST 11TH STREET, FOND DU LAC, WI 54935-5059
(920) 923-5623
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4561031
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39803800
—
WI
Enumeration date
05/07/2008
Last updated
05/07/2008
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