Individual
LUCIANO BRANCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4200 SAVANNAH DR, DEFOREST, WI 53532-2909
(608) 417-3300
Mailing address
202 S PARK ST, MADISON, WI 53715-1507
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
177772
WI
Other
Enumeration date
04/11/2019
Last updated
04/11/2019
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