Individual
LESA POVLETICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1333 COLLEGE AVE STE M1, SOUTH MILWAUKEE, WI 53172-1150
(414) 775-2500
(414) 301-9328
Mailing address
8444 N 90TH ST STE 100, SCOTTSDALE, AZ 85258-4437
(602) 248-8886
(480) 687-7316
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1087676-30
WI
Other
Enumeration date
09/02/2022
Last updated
09/02/2022
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