Individual
LORI ANN SWANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
N6753 COUNTY X, ALBANY, WI 53502-9336
(608) 212-0470
Mailing address
N6753 COUNTY HWY X, ALBANY, WI 53502-9336
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
302465-31
WI
Other
Enumeration date
05/13/2014
Last updated
05/13/2014
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