Individual
KELLY E LAISHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7205 ELMWOOD AVE, MIDDLETON, WI 53562-3217
(608) 263-7502
Mailing address
7205 ELMWOOD AVE, MIDDLETON, WI 53562-3217
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
133611
WI
Other
Enumeration date
04/12/2006
Last updated
07/14/2023
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