Individual
LORI ANN SCHNESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
900 E DIVISION ST, WAUTOMA, WI 54982-6944
(920) 787-6940
Mailing address
900 E DIVISION ST, WAUTOMA, WI 54982-6944
(920) 787-6940
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10761
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10761
PHARMACY LICENSE
WI
Enumeration date
01/13/2020
Last updated
01/13/2020
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