Individual
LORETTA J WAWRZONEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
710 EAGLE CREST DR, MADISON, WI 53704-6425
(414) 218-1216
Mailing address
710 EAGLE CREST DR, MADISON, WI 53704-6425
(414) 218-1216
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
04/23/2026
Last updated
04/23/2026
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