Individual provider · Type 1 NPI

Lori Ella Wysong, CPNP-PC

Pediatric Nurse Practitioner · Kenosha, WI

NPI number 1881046324 Active

Practice location

10400 75th St Ste 301
Kenosha, WI 53142-7884

Call (262) 948-6798 Map

Mailing address

PO Box 735044
Chicago, IL 60673-5044

Other practice locations

  • 3010 Grand Ave, Waukegan, IL 60085-2321 · (847) 377-8000

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X209028816 (IL)
Pediatric Nurse Practitioner 363LP0200X309021005 (IL)
Pediatric Nurse Practitioner 363LP0200X7027 (WI)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1881046324

Lori Ella Wysong, CPNP-PC's National Provider Identifier is 1881046324, issued on Jul 8, 2016. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Kenosha, WI. The record was last updated on Jan 6, 2026.