Provider Demographics
NPI:1720454820
Name:HOOKS, LORILEE KAY (LPN)
Entity Type:Individual
Prefix:MRS
First Name:LORILEE
Middle Name:KAY
Last Name:HOOKS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:475 W BUFFALO ST
Mailing Address - Street 2:PO BOX 502
Mailing Address - City:MUSCODA
Mailing Address - State:WI
Mailing Address - Zip Code:53573-9198
Mailing Address - Country:US
Mailing Address - Phone:608-475-4009
Mailing Address - Fax:
Practice Address - Street 1:475 W BUFFALO ST
Practice Address - Street 2:
Practice Address - City:MUSCODA
Practice Address - State:WI
Practice Address - Zip Code:53573-9198
Practice Address - Country:US
Practice Address - Phone:608-475-4009
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-12
Last Update Date:2015-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI303301164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse