| Doctor Name: | LORI J SPENCER |
| NPI Number: | 1235588773 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APNP |
| License Number: | 6930-33 |
| Business Practice Address: | 1310 Broadway Wisconsin Dells, WI - 53965 |
| Business Phone Number: | 6082531171 |
| Business Fax Number: | 6082538012 |
| Mailing Address: | 1310 Broadway, WISCONSIN DELLS |
| State: | WI |
| Postal Code: | 53965 |
| Phone Number: | 6082531171 |
| Fax Number: | 6082538012 |
| NPI Enumeration Date: | 06/06/2016 |
| NPI Last Update Date: | 06/07/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LG0600X |
| License Number: | 6930-33 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |