Individual
MRS. LORI BROOKE JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
6321 MCKEE RD, FITCHBURG, WI 53719-5017
(608) 819-1523
(608) 819-1533
Mailing address
6321 MCKEE RD, FITCHBURG, WI 53719-5017
(608) 819-1523
(608) 819-1533
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
144070-040
WI
Other
Enumeration date
06/15/2011
Last updated
06/15/2011
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