MEDICARE: LORI F SCHILLER N.P.

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	363LA2200X	Adult Health Nurse Practitioner	4704158373	MI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	OF96004	OTHER		MEDICARE GROUP NUMBER

General Provider Information

NPI Number	:	1952474512
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LORI F SCHILLER N.P.

Provider Business Mailing Address
First Line	:	1221 6TH ST STE 211
Second Line	:
City	:	TRAVERSE CITY
State	:	MI
Zip	:	49684-2360
Country	:	US
Telephone Number	:	231-935-5984
Fax Number	:	231-935-5986

Provider Business Practice Location Address
First Line	:	1221 SIXTH ST
Second Line	:
City	:	TRAVERSE CITY
State	:	MI
Zip	:	49684-2701
Country	:	US
Telephone Number	:	231-935-5984
Fax Number	:	231-935-5986

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

Provider Enumeration Date	:	11/15/2006
Last Update Date	:	09/18/2025

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