Individual
LANCHA FRIERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3435 N 83RD ST, MILWAUKEE, WI 53222-3864
(702) 205-0134
Mailing address
3435 N 83RD ST # DT, MILWAUKEE, WI 53222-3864
(702) 205-0134
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
314921-31
WI
Other
Enumeration date
07/25/2012
Last updated
07/25/2012
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