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NPI Code Detail

MEDICARE: LORI ANNE JOAS

MEDICARE: LORI ANNE JOAS
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
1183500000XPharmacist12335-040WI
21835N0905XNuclear Pharmacist198114WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
112335-040OTHERWIPHARMACIST
2198114OTHERWIPHARMACY

General Provider Information

NPI Number : 1063585107
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORI ANNE JOAS
Provider Business Mailing Address
First Line : 600 HIGHLAND AVE
Second Line : COMPLIANCE MAIL CODE 2433
City : MADISON
State : WI
Zip : 53792-0001
Country : US
Telephone Number : 608-662-0817
Fax Number :
Provider Business Practice Location Address
First Line : 600 HIGHLAND AVE
Second Line : COMPLIANCE MAIL CODE 2433
City : MADISON
State : WI
Zip : 53792-0001
Country : US
Telephone Number : 608-662-0817
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2006
Last Update Date : 09/11/2025

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Directions to “ LORI ANNE JOAS ” Practice Location

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