| Lori Tice, | |
|
1316 N 14th St, Superior, WI 54880-1773 | |
| (715) 395-1246 | |
| Not Available |
| Full Name | Lori Tice |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 1316 N 14th St, Superior, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225818289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 330783-31 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lori Tice, 1712 Cumming Ave, Superior, WI 54880-2736 Ph: (307) 394-1358 | Lori Tice, 1316 N 14th St, Superior, WI 54880-1773 Ph: (715) 395-1246 |
Kaylee K Bovard, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 718 22nd Ave E, Superior, WI 54880 Phone: 580-491-0606 |
Alyson Marie Strand Prouty, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 3520 Tower Ave, Superior, WI 54880 Phone: 715-398-2400 |