Provider Demographics
NPI:1760074306
Name:SCHLAIS, LORI KAY (NP-C)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:KAY
Last Name:SCHLAIS
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6920 ANTLER CIR
Mailing Address - Street 2:
Mailing Address - City:WAUSAU
Mailing Address - State:WI
Mailing Address - Zip Code:54401-9070
Mailing Address - Country:US
Mailing Address - Phone:715-551-2896
Mailing Address - Fax:
Practice Address - Street 1:6920 ANTLER CIR
Practice Address - Street 2:
Practice Address - City:WAUSAU
Practice Address - State:WI
Practice Address - Zip Code:54401-9070
Practice Address - Country:US
Practice Address - Phone:715-551-2896
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-04
Last Update Date:2021-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI58-33363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily