Individual
SHEA N LUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792
(608) 263-7502
(608) 265-5530
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
123958
WI
363L00000X
Nurse Practitioner
2393
WI
Other
Enumeration date
04/12/2006
Last updated
04/28/2009
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