Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1225818289 Individual Practitioner Female Practitioner

Lori Tice

Licensed Practical Nurse • Superior, WI

Professional Overview & Biography Verified Profile Summary

Lori Tice is a registered healthcare professional specializing in Licensed Practical Nurse in Superior, WI. Practice services are available at 1316 N 14TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1316 N 14th St

Superior, WI 548801773

Telephone 7153951246
Associated Practice Facility / Clinic
🏢 Douglas County Facility NPI 1508854464

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Superior, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
3 Specialists

Practicing in Superior, WI (1775 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-10-05
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License WI 330783-31

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Gwendolyn Brand , RN, APNP

Clinical Nurse Specialist - Adult Health

NPI 1578972295

Registered Nurse, Advanced Practice Nurse Prescriber

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 05, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location October 05, 2023

Registered at 1316 N 14TH ST, SUPERIOR, WI 548801773 (Tel: 7153951246)

📍
Updated Business Mailing Address October 05, 2023

Registered at 1712 CUMMING AVE, SUPERIOR, WI 548802736 (Tel: 3073941358)

👤
Provider Name / Credentials Updated October 05, 2023

Recorded as LORI TICE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 05, 2023

Licensed Practical Nurse (License #330783-31 in WI)

🟢
Initial NPI Registration & Enumeration October 05, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1225818289
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 05, 2023
Last Update: October 05, 2023
Sole Proprietor: No

Mailing Address

1712 Cumming Ave

Superior, WI 548802736

Phone: 3073941358

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.