Wanko, Lori W
Wanko, Lori W is an sole proprietor health care provider with primary practice located at 5165 Mccarty Ln , Lafayette IN 47905-8764. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is her primary health care specialty. Wanko, Lori W can be contacted via phone (765) 448-8000.Contact Information
Primary practice address
5165 Mccarty Ln
Lafayette IN 47905-8764
Phone: (765) 448-8000
Fax: (765) 838-6351
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 02005809A | Indiana |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 02005809A | Indiana |
Profile Details
| NPI number | 1215270897 |
|---|---|
| LBN Legal business name | Wanko, Lori W |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 1st, 2013 |
| Last updated | Nov 7th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215270897 | NPPES |
| Indiana | MEDICAID | 300032698 | |
| Indiana | Other | 815500545 |
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