Individual
LAURA MARIE COCOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1505 WISCONSIN AVE STE 150, GRAFTON, WI 53024-2075
(262) 707-8251
Mailing address
1109 GRANVILLE RD, CEDARBURG, WI 53012-9379
(262) 707-8251
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
219592-30
WI
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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