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1790568467
LORIE ROSE WENDT, PLLC
ROCKFORD, IL
NPI
1790568467
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Entity Type
Organization
Authorized Contact
LESLIE ELMER
Credentialing
608-352-8323
Organization Subpart ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
Enumeration Date
2023-08-16
Last Update Date
2023-08-16
Business Address
LORIE ROSE WENDT, PLLC
2323 SANDHUTTON AVE
ROCKFORD, IL 61108-8087
Phone number: 815-566-2052
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Mailing Address
LORIE ROSE WENDT, PLLC
2323 SANDHUTTON AVE
ROCKFORD, IL 61108-8087
Phone number:
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