Lorrie Ann Formella
Lorrie Ann Formella is an Athletic Trainer in Appleton, Wisconsin. Practices as a sole proprietor. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
604 N Richmond StAppleton, WI 54911-4659
Phone: (920) 750-1845
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X |
|---|
Record details
| NPI number | 1982252631 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 27, 2019 |
| Last updated in NPPES | August 27, 2019 |
| Mailing address | N7590 Lower Cliff Rd, Sherwood, WI 54169-9704 |
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