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Individual

LENA G PODOLSKY

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
5900 S LAKE DR, ADVANCED PAIN MANAGEMENT, CUDAHY, WI 53110
(414) 489-4183
(414) 489-4582
Mailing address
5900 S LAKE DR, ADVANCED PAIN MANAGEMENT, CUDAHY, WI 53110
(414) 489-4183
(414) 489-4582

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2166033
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
41260200
WI
Enumeration date
04/10/2006
Last updated
07/08/2007
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