MEDICARE: KARA RAE LORENZ RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WS0200X	School Registered Nurse	144098-30	WI

General Provider Information

NPI Number	:	1760332662
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARA RAE LORENZ RN

Provider Business Mailing Address
First Line	:	22055 STATE HIGHWAY 21
Second Line	:
City	:	TOMAH
State	:	WI
Zip	:	54660-8025
Country	:	US
Telephone Number	:	608-374-7015
Fax Number	:	608-374-8710

Provider Business Practice Location Address
First Line	:	1310 TOWNLINE RD
Second Line	:
City	:	TOMAH
State	:	WI
Zip	:	54660-1335
Country	:	US
Telephone Number	:	608-374-7015
Fax Number	:	608-374-8710

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/30/2026
Last Update Date	:	01/30/2026

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