Wysong, Lori

Wysong, Lori is an individual health care provider with primary practice located at 3010 Grand Ave , Waukegan IL 60085-2321. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Wysong, Lori can be contacted via phone (847) 377-8000.

Contact Information

Primary practice address
3010 Grand Ave Waukegan IL 60085-2321
Phone: (847) 377-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 7027 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 309021005 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 209028816 Illinois

Profile Details

NPI number 1881046324
LBN Legal business name Wysong, Lori
Credentials CPNP-PC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2016
Last updated Dec 11th, 2023 - about 2 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 1881046324 NPPES
Wisconsin MEDICAID 1881046324
Wisconsin MEDICAID 1881046324

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