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Lori A Brudnicki

Non-emergency Medical Transport (VAN) in Green Bay, WI. Individual provider (NPI-1).

NPI number1376205336
StatusActive
Last updated in NPPESOct 7, 2021

Details

NPI
1376205336
Entity type
Individual (NPI-1)
Name
Lori A Brudnicki
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 7, 2021
Certification date
Oct 7, 2021
Last updated
Oct 7, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
343900000X Non-emergency Medical Transport (VAN)––Yes

Practice location

808 Packerland Dr
Green Bay, WI 54303-4846

Phone 920-600-4709

Mailing address

Po Box 10951
Green Bay, WI 54307-0951

Phone 920-600-4709

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