King, Lori Deprez

King, Lori Deprez is an individual health care provider with primary practice located at 305 E 12Th St , Kaukauna WI 54130-2865. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. King, Lori Deprez can be contacted via phone (920) 766-4656.

Contact Information

Primary practice address
305 E 12Th St Kaukauna WI 54130-2865
Phone: (920) 766-4656
Fax: (920) 766-4659
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 423 Wisconsin

Profile Details

NPI number 1548210925
LBN Legal business name King, Lori Deprez
Credentials RN, APNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Jul 8th, 2007 - about 19 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 1548210925 NPPES
Wisconsin MEDICAID 43819300

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