Individual
BRENDA L LEWIS HAMILTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
W12432 HWY 16 60, COLUMBUS, WI 53925-2009
(920) 319-6399
Mailing address
W12432 HWY 16 60, COLUMBUS, WI 53925-2009
(920) 319-6399
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
327065-31
WI
Other
Enumeration date
02/17/2022
Last updated
02/19/2022
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