Individual
JENNIFER LEASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 OVERLOOK TER, MADISON, WI 53705-2254
(608) 256-1901
Mailing address
3450 ROHOWETZ RD, DODGEVILLE, WI 53533-8758
(608) 256-1901
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002080968
VA
Other
Enumeration date
06/03/2026
Last updated
06/03/2026
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