Individual
MRS. TAMMY FAY KORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
715 SAINT CLAIR AVE, SHEBOYGAN, WI 53081-3408
(920) 287-9649
Mailing address
715 SAINT CLAIR AVE, SHEBOYGAN, WI 53081-3408
(920) 287-9649
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38293900
—
WI
Enumeration date
11/06/2006
Last updated
07/09/2007
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