Individual
LAURA HOLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3220 W VLIET ST, MILWAUKEE, WI 53208-2453
(414) 231-4000
Mailing address
4265 N 63RD ST, MILWAUKEE, WI 53216-1242
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
20561-031
WI
Other
Enumeration date
08/15/2012
Last updated
08/15/2012
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