Ms Lori L Susdorf, RN is a
Registered Nurse based in Conover, Wisconsin. Ms Lori L Susdorf is licensed to practice in Wisconsin (license number 87927-30) and her current practice location is
3552 Hwy K East, Conover, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(715) 479-6699.
NPI number for Ms Lori L Susdorf is 1245671940 and her current mailing address is 3552 County Road K, Conover, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1245671940.
Provider's Profile
Full Name | Ms Lori L Susdorf |
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Gender | Female |
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Speciality | Registered Nurse |
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Location | 3552 Hwy K East, Conover, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1245671940
- Provider Enumeration Date: 07/10/2013
- Last Update Date: 07/10/2013
Medical Identifiers
Medical identifiers for Ms Lori L Susdorf such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245671940 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 87927-30 (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. Ms Lori L Susdorf 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 |
Ms Lori L Susdorf, RN 3552 County Road K, Conover, WI 54519 Ph: (715) 479-6699 | Ms Lori L Susdorf, RN 3552 Hwy K East, Conover, WI 54519 Ph: (715) 479-6699 |
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