Individual
MS. LORI L KISTING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
824 ILLINOIS AVE, STEVENS POINT, WI 54481-3112
(715) 342-7500
Mailing address
824 ILLINOIS AVE, STEVENS POINT, WI 54481-3112
(715) 342-7500
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4917
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4917
WI STATE LIC
WI
Enumeration date
08/27/2012
Last updated
04/13/2021
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