Lori Ann Ellerman, CST Valid NPI
Individual provider · Surgical Technologist · Wausau, WI
- NPI
- 1053687772
- Type
- Individual (Type 1)
- Primary specialty
- Surgical Technologist (Specialist/Technologist, Other)
- Specialty group
- Technologists, Technicians & Other Technical Service Providers
- Taxonomy code
- 246ZS0410X
- License number
- 130260 (WI)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2012-03-27
- Last updated
- 2012-03-27
Practice location
5200 Hummingbird Rd, Ste 100
Wausau, WI 54401-6312
(715) 359-6442