Provider Demographics
NPI:1609583970
Name:CAPUTO, LORI ANN (RN)
Entity Type:Individual
Prefix:MS
First Name:LORI
Middle Name:ANN
Last Name:CAPUTO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8971 FORESTWOOD LN
Mailing Address - Street 2:
Mailing Address - City:WOODRUFF
Mailing Address - State:WI
Mailing Address - Zip Code:54568-9306
Mailing Address - Country:US
Mailing Address - Phone:715-807-7365
Mailing Address - Fax:
Practice Address - Street 1:9792 HWY 70 STE 3
Practice Address - Street 2:
Practice Address - City:MINOCQUA
Practice Address - State:WI
Practice Address - Zip Code:54548-8747
Practice Address - Country:US
Practice Address - Phone:715-356-0034
Practice Address - Fax:715-356-0037
Is Sole Proprietor?:No
Enumeration Date:2022-11-04
Last Update Date:2022-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH056733-21163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice