Organization
LORELLE M MANION, MD, SC
Active
Organization
LORELLE M MANION, MD, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORELLE MICHELLE MANION M.D. (PRESIDENT)
(262) 784-3200
Entity
Organization
Contact information
Practice address
1305 N BARKER RD, SUITE 1, BROOKFIELD, WI 53045-5230
(262) 784-3200
(262) 784-8198
Mailing address
PO BOX 5005, WAUKESHA, WI 53187-5005
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
35609
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32207500
—
WI
01
—
35609
WISCONSIN STATE LICENSE
WI
Enumeration date
05/17/2007
Last updated
08/22/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up