Organization
LEILANE U STA ROMANA MDSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEILANE U STA ROMANA MD (OWNER AND PRESIDENT)
(262) 658-3706
Entity
Organization
Contact information
Practice address
3734 7TH AVE, DOMINICAN BUILDING SUITE 15, KENOSHA, WI 53140-5525
(262) 658-3706
Mailing address
3734 7TH AVE, DOMINICAN BUILDING SUITE 15, KENOSHA, WI 53140-5525
(262) 658-3706
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/20/2007
Last updated
08/22/2020
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