Lora Lee Blasius, MSN APNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2102033 Issued in WI

Practice address

161 Washington St. Suite 1400
Eight Tower Bridge
Conshohocken, PA 19428

Phone

(866) 825-3227

Fax

(484) 726-0013

NPI assigned

Feb 6, 2007

Last updated

Jan 20, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Ms. Lora L. Brodzeller Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Acu-Med Integrative Medicine LLC

  dba Acupuncture & Chinese Medical Center

  • Acupuncturist
  • Waukesha, WI
  • NPI 1457781981
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295481600000",
    "number": "1114066701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 900",
            "city": "WALES",
            "state": "WI",
            "postal_code": "531830900",
            "telephone_number": "262-646-3341",
            "fax_number": "262-646-8731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 WASHINGTON ST. SUITE 1400",
            "address_2": "EIGHT TOWER BRIDGE",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "19428",
            "telephone_number": "866-825-3227",
            "fax_number": "484-726-0013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLASIUS",
        "first_name": "LORA",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "MSN APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2011-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "2102033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1114066701",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36027800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORA",
            "last_name": "BRODZELLER",
            "middle_name": "L.",
            "prefix": "MS.",
            "credential": "APNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mallori Elise Berry Cain, MSW, LSW, MSP
• Better Health Nutrition LLC
• Beyond Chiropractic PC
• Alicia Grace Bigelow
• BJ's Wholesale Club Inc.
• Jennifer Christine Bokoski
• Elizabeth G Boone, NP
• Erica L Borman, D.O.
• Lakey Brathwaite, RBT
• Philip Roy Braun, PHD

• Family Nurse Practitioner in Conshohocken, PA
• Providers in Conshohocken, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.