Page, Lori A

Page, Lori A is an sole proprietor health care provider with primary practice located at 5535 Rockville Rd , Potosi WI 53820-9621. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Page, Lori A can be contacted via phone (608) 763-2596.

Contact Information

Primary practice address
5535 Rockville Rd Potosi WI 53820-9621
Phone: (608) 763-2596
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X Wisconsin

Profile Details

NPI number 1790859106
LBN Legal business name Page, Lori A
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 17th, 2006
Last updated Jul 9th, 2007 - about 18 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 1790859106 NPPES
Wisconsin MEDICAID 38272900

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