Individual
LARA KWETKAUSKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN BSN CEN
Contact information
Practice address
424 SAVANNAH RD, LEWES, DE 19958-1462
(302) 645-3300
Mailing address
26441 CAVE NECK RD, MILTON, DE 19968-3002
(302) 684-8911
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
L1-0035878
DE
Other
Enumeration date
01/10/2015
Last updated
01/10/2015
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