Individual
LORI A DEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 WEST AVE S, LA CROSSE, WI 54601-8806
(608) 392-9891
Mailing address
PO BOX 1510, EAU CLAIRE, WI 54702-1510
(608) 785-0940
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33486
WI
Other
Enumeration date
11/07/2005
Last updated
09/15/2020
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