Provider Demographics
NPI:1639315419
Name:POZORSKI, MARY LORNA (RN)
Entity Type:Individual
Prefix:MRS
First Name:MARY
Middle Name:LORNA
Last Name:POZORSKI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:MARY
Other - Middle Name:LORNA
Other - Last Name:POZORSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:W232S8785 BRONK DR
Mailing Address - Street 2:
Mailing Address - City:BIG BEND
Mailing Address - State:WI
Mailing Address - Zip Code:53103-9757
Mailing Address - Country:US
Mailing Address - Phone:262-662-3514
Mailing Address - Fax:
Practice Address - Street 1:W232S8785 BRONK DR
Practice Address - Street 2:
Practice Address - City:BIG BEND
Practice Address - State:WI
Practice Address - Zip Code:53103-9757
Practice Address - Country:US
Practice Address - Phone:262-662-3514
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-27
Last Update Date:2008-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI37062-030163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse