Spencer, Lori J

Spencer, Lori J is an individual health care provider with primary practice located at 1310 Broadway , Wisconsin Dells WI 53965-1358. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Spencer, Lori J can be contacted via phone (608) 253-1171.

Contact Information

Primary practice address
1310 Broadway Wisconsin Dells WI 53965-1358
Phone: (608) 253-1171
Fax: (608) 253-8012
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 6930-33 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 6930-033 Wisconsin

Profile Details

NPI number 1235588773
LBN Legal business name Spencer, Lori J
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2016
Last updated Dec 12th, 2020 - about 6 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 1235588773 NPPES
Wisconsin MEDICAID 1235588773

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