Individual
LORI ANN RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
1015 BURBANK AVE, JANESVILLE, WI 53546-6154
(608) 755-2438
Mailing address
4704 E OAKVIEW DR, MILTON, WI 53563-9296
(608) 359-3264
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
86307-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43915000
—
WI
Enumeration date
01/30/2007
Last updated
03/29/2012
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