Individual
GINA LAWALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
9200 W WISCONSIN AVE, DEPARTMENT OF INTERNAL MEDICINE, MILWAUKEE, WI 53226-3522
(414) 955-0350
(414) 805-6851
Mailing address
9200 W WISCONSIN AVE, DEPARTMENT OF INTERNAL MEDICINE, MILWAUKEE, WI 53226-3522
(414) 955-0350
(414) 805-6851
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
7408-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053856112
—
WI
Enumeration date
12/28/2016
Last updated
03/22/2023
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