Individual
SAMANTHA MARIE LEASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
100 W 8TH ST, MONROE, WI 53566-1021
(608) 324-2000
Mailing address
2009 5TH ST, MONROE, WI 53566-1546
(608) 324-2000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
81708
WI
207Q00000X
Family Medicine Physician
81708-21
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2023
Last updated
07/16/2025
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