Individual
LORA A NERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
N2950 STATE ROAD 67, LAKE GENEVA, WI 53147-2655
(262) 245-0535
Mailing address
N2950 STATE ROAD 67, LAKE GENEVA, WI 53147-2655
(262) 245-0535
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
50854
WI
208000000X
Pediatrics Physician
5101015631
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43545400
—
WI
01
—
NERLALOR
MERCYCARE INSURANCE
WI
Enumeration date
07/26/2007
Last updated
10/13/2011
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