Most Relevant Information
Provider Data
| NPI Number: | 1003320466 |
| Provider Name: | LORI SHERMAN RDH |
| Entity Type: | Individual |
| Taxonomy Code: | 124Q00000X |
| Specialty: | Dental Hygienist |
| License Number: | 3232-16 |
Most Important Dates
| Enumeration Date: | 11/21/2017 |
| Last Updated: | 11/21/2017 |
Provider Practice Location
880 HERRIOT DR
MAUSTON
WI
539482031
Practice Location Phone/Fax
| Phone: | 6088476700 |
| Fax: | 6088476122 |
Provider Mailing Location
PO BOX 1440
WAUTOMA
WI
549821440
Provider Mailing Phone/Fax
| Phone: | 9207875514 |
| Fax: | 9207874737 |