Individual
LORI KURKIEWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1759 BRIDGE PORT LN, DE PERE, WI 54115-8098
(920) 660-3779
Mailing address
1759 BRIDGE PORT LN, DE PERE, WI 54115-8098
(920) 660-3779
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
243894-30
WI
164W00000X
Licensed Practical Nurse
322180
WI
164W00000X
Licensed Practical Nurse
322180-31
WI
Other
Enumeration date
10/03/2017
Last updated
01/12/2024
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