Lori M Wisely M D

LBN: Lori M Wisely M D
Lori M Wisely M D is an health care organization with primary practice located at 1060 S Main St , Tipton IN 46072-8327. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Lori M Wisely M D can be contacted via phone (765) 675-2069, or through Wisely, Lori M via phone (765) 675-2069.

Contact Information

Primary practice address
1060 S Main St Tipton IN 46072-8327
Phone: (765) 675-2069
Fax: (765) 675-7327
Website:
Map and Directions
Authorized official contact:
Name: Wisely, Lori M Doctor of Medicine (MD)
Phone: (765) 675-2069

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01042996 Indiana

Profile Details

NPI number 1831356062
LBN Legal business name Lori M Wisely M D
DBA Doing business as
Authorized official Wisely, Lori M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2008
Last updated May 16th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831356062 NPPES
Indiana MEDICAID 200106590A

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