Individual
MS. LORIJEAN MARJORIE METTETAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
601 BUFFALO ST, LAKESHORE COMMUNITY HEALTH CLINIC, MANITOWOC, WI 54220-6817
(423) 975-2200
Mailing address
601 BUFFALO ST, LAKESHORE COMMUNITY HEALTH CENTER, MANITOWOC, WI 54220-6817
(423) 483-2192
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6919-33
WI
Other
Enumeration date
10/12/2012
Last updated
09/02/2016
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