Dr LORI A KING is a female medical professional, specializing in Nurse Practitioner. She graduated in 1991.
KAUKAUNA CLINIC, S.C.
305 E 12TH ST
KAUKAUNA
WI
541302865
Tel: 9207664656
| Npi | 1548210925 |
| Pac Id | 8123157005 |
| Professional Enrollment Id | I20100602000813 |
| Last Name | KING |
| First Name | LORI |
| Middle Name | A |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 1991 |
| Primary Specialty | NURSE PRACTITIONER |
| Secondary Specialty 1 | |
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| Organization Legal Name | KAUKAUNA CLINIC, S.C. |
| Group Practice Pac Id | 5597765891 |
| Number Of Group Practice Members | 10 |
| Line 1 Street Address | 305 E 12TH ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | KAUKAUNA |
| State | WI |
| Zip Code | 541302865 |
| Phone Number | 9207664656 |
| Hospital Affiliation Ccn 1 | 520045 |
| Hospital Affiliation Lbn 1 | THEDA CLARK MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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