Individual
TRACY LEE LOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
9610 W. CAPITOL DRIVE, APT 3, MILWAUKEE, WI 53222-2572
(414) 455-3096
(414) 455-3096
Mailing address
9610 W CAPITOL DR APT 3, MILWAUKEE, WI 53222-1466
(414) 455-3096
(414) 455-3096
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
124925030
WI
Other
Enumeration date
09/25/2006
Last updated
07/20/2009
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