Individual
LORIE R WENDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2323 SANDHUTTON AVE, ROCKFORD, IL 61108-8087
(815) 566-2052
(779) 888-8084
Mailing address
2323 SANDHUTTON AVE, ROCKFORD, IL 61108-8087
(815) 566-2052
(779) 888-8084
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
277001432
IL
363LF0000X
Family Nurse Practitioner
Primary
277001432
IL
Other
Enumeration date
05/25/2010
Last updated
06/13/2023
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