Individual
LORI SHIANNE THURBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 263-8369
Mailing address
331 W CARROLL ST, PORTAGE, WI 53901-1613
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
83318
WI
Other
Enumeration date
09/07/2017
Last updated
09/07/2017
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