LORA MARIE MOERICKE

DE PERE, WI
NPI1801235858
Former NameLORA MARIE LANGE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: WI  5317)
Enumeration Date2013-06-21
Last Update Date2015-12-16
Business Address
-- LORA MARIE MOERICKE APNP
1145 W MAIN AVE STE. 205
DE PERE, WI 54115-1698
Phone number: 920-336-6455
Mailing Address
-- LORA MARIE MOERICKE APNP
888 THACKERAY TRL 103
OCONOMOWOC, WI 53066-4342
Phone number: 262-354-3744
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