Lori Knapp Fond Du Lac, Inc

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

LORI KNAPP FOND DU LAC, INC

Practice address

625 Fond Du Lac Ave
Fond Du Lac, WI 54935

Phone

(920) 907-0949

Fax

(920) 907-0961

NPI assigned

Sep 5, 2008

Organization subpart

No

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

Authorized official

Name

Donald B Knapp

Title

Ceo

Phone

(608) 326-5536

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1220572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220572800000",
    "number": "1679721435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 FOND DU LAC AVE",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "54935",
            "telephone_number": "920-907-0949",
            "fax_number": "920-907-0961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 FOND DU LAC AVE",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "54935",
            "telephone_number": "920-907-0949",
            "fax_number": "920-907-0961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORI KNAPP FOND DU LAC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-05",
        "last_updated": "2008-09-05",
        "status": "A",
        "authorized_official_last_name": "KNAPP",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "608-326-5536"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane Lopata
• Julia Esperanza Lopez-Decuir
• Alexis Lor, RN
• Tou Lor
• Kathleen Ann Lorenz, LPN
• Jennifer J Lousberg
• Keziah Sherri Love, LPC
• Africa Marquitia Lucas, SAC-IT
• Jennifer C. Lucas, P.T.
• Sarah J Luebke, RN

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Fond Du Lac, WI
• Providers in Fond Du Lac, WI by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2008; 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.