Heinrich, Lori A

Heinrich, Lori A is an individual health care provider with primary practice located at 10303 N Port Washington Rd Suite 101, Mequon WI 53092-5760. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Heinrich, Lori A can be contacted via phone (262) 240-0440.

Contact Information

Primary practice address
10303 N Port Washington Rd Suite 101 Mequon WI 53092-5760
Fax: (262) 240-0441
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 29744-020 Wisconsin

Profile Details

NPI number 1184719288
LBN Legal business name Heinrich, Lori A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Jul 19th, 2007 - about 17 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 1184719288 NPPES
Wisconsin MEDICAID 31824000

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