Provider Demographics
NPI:1932170495
Name:MILOVANOVIC, LORI CHRISTINE (LPN)
Entity type:Individual
Prefix:MRS
First Name:LORI
Middle Name:CHRISTINE
Last Name:MILOVANOVIC
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 1:3632 RON CIR
Mailing Address - Street 2:
Mailing Address - City:NORTH POLE
Mailing Address - State:AK
Mailing Address - Zip Code:99705-6829
Mailing Address - Country:US
Mailing Address - Phone:907-353-1207
Mailing Address - Fax:907-353-4850
Practice Address - Street 1:3632 RON CIR
Practice Address - Street 2:
Practice Address - City:NORTH POLE
Practice Address - State:AK
Practice Address - Zip Code:99705-6829
Practice Address - Country:US
Practice Address - Phone:907-353-1207
Practice Address - Fax:907-353-4850
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK5711164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse