Individual
LORI A TOLKSDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5200 HUMMINGBIRD RD, STE 100, WAUSAU, WI 54401-6312
(715) 359-6442
(715) 393-0390
Mailing address
5200 HUMMINGBIRD RD, STE 100, WAUSAU, WI 54401-6312
(715) 359-6442
(715) 393-0390
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
557
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42926900
—
WI
Enumeration date
08/23/2006
Last updated
04/13/2012
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