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Individual

LAURIE LYNN KRUEGER

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1206 MARION AVE, SOUTH MILWAUKEE, WI 53172-3108
(414) 764-9027
Mailing address
1206 MARION AVE, SOUTH MILWAUKEE, WI 53172-3108
(414) 764-9027

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
38330800
INEPENDENT PROVIDER NO.
WI
Enumeration date
03/16/2006
Last updated
07/08/2007
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