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Individual

MS. LORI N GREER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
2639 NEW PINERY RD, SUITE 1, PORTAGE, WI 53901-1110
(608) 742-5020
(608) 742-3641
Mailing address
6010 SADDLE RIDGE, PORTAGE, WI 53901
(608) 745-4309
(608) 742-3641

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13515
DEAN INSURANCE
WI
05
39130900
WI
Enumeration date
06/16/2006
Last updated
03/01/2022
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