Individual
LAURA LEA RANDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
121 KENT ST, WAUSAU, WI 54403-6923
(715) 657-0357
Mailing address
121 KENT ST, WAUSAU, WI 54403-6923
(715) 657-0357
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
161617
WI
Other
Enumeration date
06/20/2016
Last updated
06/20/2016
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