Defranco, Lora Renee

Defranco, Lora Renee is an individual health care provider with primary practice located at 722 Main St. - Absolute Wellness Associates, Llc Suite 203, Lake Geneva WI 54178-1835. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Defranco, Lora Renee can be contacted via phone (262) 422-4203.

Contact Information

Primary practice address
722 Main St. - Absolute Wellness Associates, Llc Suite 203 Lake Geneva WI 54178-1835
Phone: (262) 422-4203
Fax: (855) 631-0559
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 3018-125 Wisconsin

Profile Details

NPI number 1861507048
LBN Legal business name Defranco, Lora Renee
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated Aug 18th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861507048 NPPES
Wisconsin MEDICAID 43575600

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