Doctor Name: | LORI S KROL |
NPI Number: | 1851357156 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN-BC |
License Number: | 71001593A |
Business Practice Address: | 165 E Robbins St Wheatfield, IN - 463926006 |
Business Phone Number: | 2199563004 |
Business Fax Number: | 2199563006 |
Mailing Address: | 165 E Robbins St, Po Box 220 WHEATFIELD |
State: | IN |
Postal Code: | 463926006 |
Phone Number: | 2199563004 |
Fax Number: | 2199563006 |
NPI Enumeration Date: | 04/25/2006 |
NPI Last Update Date: | 02/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 71001593A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |