Individual
LORI A MANSUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6580 S. 46TH ST., FRANKLIN, WI 53132
(414) 421-0276
Mailing address
32047 ACADEMY RD, BURLINGTON, WI 53105
(262) 221-0312
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
147476-30
WI
Other
Enumeration date
04/15/2019
Last updated
04/15/2019
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