Provider Demographics
NPI:1093820177
Name:FLORESCU, LUIZA-IRINA N (MD)
Entity Type:Individual
Prefix:
First Name:LUIZA-IRINA
Middle Name:N
Last Name:FLORESCU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LUIZA-IRINA
Other - Middle Name:N
Other - Last Name:CRACIUN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1818 N MEADE ST
Mailing Address - Street 2:
Mailing Address - City:APPLETON
Mailing Address - State:WI
Mailing Address - Zip Code:54911-3454
Mailing Address - Country:US
Mailing Address - Phone:920-636-5437
Mailing Address - Fax:920-735-7618
Practice Address - Street 1:1818 N MEADE ST
Practice Address - Street 2:
Practice Address - City:APPLETON
Practice Address - State:WI
Practice Address - Zip Code:54911-3454
Practice Address - Country:US
Practice Address - Phone:920-636-5437
Practice Address - Fax:920-735-7618
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI45556207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI34394600Medicaid
WIP00941448OtherRR MEDICARE
H88040Medicare UPIN
WIP00941448OtherRR MEDICARE
WI462364822Medicare PIN