Individual
DR. LOIS CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, DEPARTMENT OF ANESTHESIOLOGY, MILWAUKEE, WI 53226-3522
(414) 805-2715
(414) 259-1522
Mailing address
9200 W WISCONSIN AVE, DEPARTMENT OF ANESTHESIOLOGY, MILWAUKEE, WI 53226-3522
(414) 805-2715
(414) 259-1522
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
26949
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002000113B
HUMANA
—
01
—
050024707
RAILROAD MEDICARE
—
05
—
1265484166
—
WI
Enumeration date
05/17/2006
Last updated
03/13/2013
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