Lori Tice, is a
Licensed Practical Nurse based in Superior, Wisconsin. Lori Tice is licensed to practice in Wisconsin (license number 330783-31) and her current practice location is
1316 N 14th St, Superior, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(715) 395-1246.
NPI number for Lori Tice is 1225818289 and her current mailing address is 1712 Cumming Ave, Superior, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1225818289.
Provider's Profile
Full Name | Lori Tice |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 1316 N 14th St, Superior, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1225818289
- Provider Enumeration Date: 10/05/2023
- Last Update Date: 10/05/2023
Medical Identifiers
Medical identifiers for Lori Tice such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225818289 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 330783-31 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lori Tice is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
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 |
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