Verburgt, Lori Ann

Verburgt, Lori Ann is an individual health care provider with primary practice located at 8901 W. Lincoln Ave , West Allis WI 53227-9983. She recently has only one registered license in Nursing Service Providers / Diabetes Educator, which is considered as her primary health care specialty. Verburgt, Lori Ann can be contacted via phone (414) 328-6218.

Contact Information

Primary practice address
8901 W. Lincoln Ave West Allis WI 53227-9983
Fax: (414) 328-6210
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Diabetes Educator 163WD0400X 66404-030 Wisconsin

Profile Details

NPI number 1245494608
LBN Legal business name Verburgt, Lori Ann
Credentials RN, CDE
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2008
Last updated Jul 15th, 2008 - 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 1245494608 NPPES
Wisconsin Other 66404-030 WISCONSIN DEPT OF REGULATION AND LICENSING

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