Individual
MRS. CYNTHIA LUE JURK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
7610 4 MILE RD, FRANKSVILLE, WI 53126-9438
(262) 681-1834
Mailing address
7610 4 MILE RD, FRANKSVILLE, WI 53126-9438
(262) 681-1834
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39934500
WISCONSIN MEDICAID
WI
Enumeration date
04/28/2008
Last updated
04/28/2008
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