NPI 1053687772

Lori Ann Ellerman, CST

Practitioner Surgical Technologist Wausau, WI

Practice location

Address: 5200 Hummingbird Rd STE 100, Wausau, WI 54401-6312
Phone: (715) 359-6442
Fax: (715) 393-0390

Registered specialties

Surgical Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZS0410X Licence 130260 (WI)

Other Specialist/Technologist, Other providers in Wisconsin →

Registry record

NPI: 1053687772
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Mar 2012
Record last updated: 27 Mar 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.