BENJAMIN LORGE
Individual Provider (NPI-1)
Active
Pharmacist, Oncology
Provider Information
- NPI Number
1407799315- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 900 N 92ND ST, WAUWATOSA, WI, 532261202
- Phone
- (414) 805-3000
Specialties & Taxonomies
Pharmacist, Oncology
Primary License: WI #22595-40
All Addresses
MAILING
2526 N 124TH ST APT 227
WAUWATOSA, WI, 532261026