Lorrie Ann Formella

Athletic Trainer · Appleton, WI

Individual Active NPI

NPI number 1982252631

Practice location

604 N Richmond St
Appleton, WI 54911-4659
Phone
(920) 750-1845

Open in Google Maps

NPI record

NPI
1982252631
Entity type
Individual (Type 1)
Enumeration date
August 27, 2019
Last updated
August 27, 2019
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X — —

Mailing address

N7590 Lower Cliff Rd
Sherwood, WI 54169-9704
Phone
(920) 750-1845

About Lorrie Formella

Lorrie Ann Formella is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 604 N Richmond St, Appleton, WI 54911-4659. The NPI number 1982252631 was assigned on August 27, 2019 and the record was last updated on August 27, 2019.

Frequently asked questions

What is the NPI number of Lorrie Ann Formella?

The NPI number is 1982252631.

What is the phone number of Lorrie Formella?

The phone number listed for the practice location is (920) 750-1845.

Where is Lorrie Formella located?

604 N Richmond St, Appleton, WI 54911-4659.

What is the taxonomy code for Lorrie Formella?

The primary taxonomy code is 2255A2300X – Athletic Trainer.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Athletic Trainer providers in Appleton

All Athletic Trainer providers in Appleton, WI →