Organization
LOLA'S NEW BEGINNINGS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE SOTO (OWNER)
(414) 334-8934
Entity
Organization
Contact information
Practice address
3632 S 77TH ST, MILWAUKEE, WI 53220-1146
(414) 334-8934
Mailing address
2913 S 14TH ST, MILWAUKEE, WI 53215-3841
(414) 334-8934
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
—
—
Other
Enumeration date
01/30/2020
Last updated
01/30/2020
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