Individual
LORI A PAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5535 ROCKVILLE RD, POTOSI, WI 53820-9621
(608) 763-2596
Mailing address
5535 ROCKVILLE RD, POTOSI, WI 53820-9621
(608) 763-2596
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38272900
—
WI
Enumeration date
11/17/2006
Last updated
07/09/2007
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