Individual
DR. LORI JO WHITIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
836 RICHARD DR, EAU CLAIRE, WI 54701-6242
(715) 839-8477
Mailing address
S5070 WILLIAM CT, EAU CLAIRE, WI 54701-5052
(715) 552-5521
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
43892-020
WI
Other
Enumeration date
06/11/2008
Last updated
06/11/2012
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