Provider Demographics
NPI:1578450219
Name:MONIZ-TRISLER, LORI KAY
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:KAY
Last Name:MONIZ-TRISLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:421 N 6TH ST
Mailing Address - Street 2:
Mailing Address - City:WYMORE
Mailing Address - State:NE
Mailing Address - Zip Code:68466-1339
Mailing Address - Country:US
Mailing Address - Phone:402-300-1064
Mailing Address - Fax:
Practice Address - Street 1:45282 US HIGHWAY 77
Practice Address - Street 2:
Practice Address - City:WYMORE
Practice Address - State:NE
Practice Address - Zip Code:68466-8100
Practice Address - Country:US
Practice Address - Phone:402-300-1064
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-23
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider