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Individual

MRS. LORI ANN SCHULTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1235 N MULFORD RD STE 205, ROCKFORD, IL 61107-3879
(815) 484-9900
(815) 487-4949
Mailing address
1235 N MULFORD RD STE 205, ROCKFORD, IL 61107-3879
(815) 484-9900
(815) 487-4949

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.004267
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
085867
HEALTH ALLIANCE MEDICAL
IL
Enumeration date
10/12/2006
Last updated
01/30/2023
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