Individual
LORRAINE WITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
13133 N PORT WASHINGTON RD STE G16, MEQUON, WI 53097-2423
(262) 243-2500
(262) 243-5395
Mailing address
788 N JEFFERSON ST, SUITE 300/ATTN. KAAREN BUTZEN, MILWAUKEE, WI 53202-3718
(414) 272-8950
(414) 225-2929
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3189-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174939409
—
WI
Enumeration date
07/08/2014
Last updated
02/24/2021
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