Individual
MARI A LEPOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
121 W MAIN ST, PORT WASHINGTON, WI 53074-1813
(262) 284-8144
Mailing address
PO BOX 994, PORT WASHINGTON, WI 53074-0994
(262) 284-8144
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
161522-030
WI
Other
Enumeration date
01/08/2010
Last updated
01/08/2010
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