Provider Demographics
NPI:1740421833
Name:TORREANO, LORI-ANN (MD)
Entity Type:Individual
Prefix:DR
First Name:LORI-ANN
Middle Name:
Last Name:TORREANO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1405 FOX RIVER DR
Mailing Address - Street 2:
Mailing Address - City:DE PERE
Mailing Address - State:WI
Mailing Address - Zip Code:54115-2436
Mailing Address - Country:US
Mailing Address - Phone:920-336-0703
Mailing Address - Fax:
Practice Address - Street 1:1405 FOX RIVER DR
Practice Address - Street 2:
Practice Address - City:DE PERE
Practice Address - State:WI
Practice Address - Zip Code:54115-2436
Practice Address - Country:US
Practice Address - Phone:920-336-0703
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-18
Last Update Date:2009-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI34445-020207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
F69731Medicare UPIN