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Individual

MRS. LORI LYNN LASEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, BSN

Contact information

Practice address
W6161 WESTLAKE CT, FOND DU LAC, WI 54937-1600
(920) 904-2599
Mailing address
W6161 WESTLAKE CT, FOND DU LAC, WI 54937-1600
(920) 904-2599

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
125633-030
WI

Other

Enumeration date
01/14/2010
Last updated
01/14/2010
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