Individual
LUCILLE MEDROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1255 EDWARDS ST, BROOKFIELD, WI 53005-7154
(262) 206-7901
Mailing address
1255 EDWARDS ST, BROOKFIELD, WI 53005-7154
(262) 206-7901
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
189529
WI
Other
Enumeration date
07/24/2019
Last updated
07/24/2019
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