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Lori Wysong, CPNP-PC
Pediatric Nurse Practitioner in Waukegan, Illinois
NPI 1881046324

Lori Wysong is a Pediatric Nurse Practitioner based in Waukegan, IL and is specialized in Pediatrics. Lori Wysong practices in Waukegan, IL and has the professional credentials of CPNP-PC. The NPI Number for Lori Wysong is 1881046324 and holds a License No. 7027 (Illinois).

The current practice location address for Lori Wysong is 3010 Grand Ave, Waukegan, IL and can be reached out via phone at 847-377-8000.

Location: 3010 Grand Ave, Waukegan, IL, 60085-2321
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881046324
Provider Name
Lori Wysong
Credential
CPNP-PC
Provider Entity Type
Individual
Gender
Female
Address
3010 Grand Ave, Waukegan, IL, 60085-2321
Phone Number
847-377-8000
Fax Number
Provider Enumeration Date
07/08/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1881046324 05 WI
1881046324 05 IL
institution
Provider Business Practice Location Address Details
Address
3010 Grand Ave
City
Waukegan
State
Illinois
Zip
60085-2321
Phone Number
847-377-8000
Fax Number
person
Provider Business Mailing Address Details
Address
3010 Grand Ave
City
Waukegan
State
Illinois
Zip
60085-2321
Phone Number
847-377-8000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
7027 (Wisconsin)
Definition
Definition to come...
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