Individual
LAURA RANDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
N5820 LAKEVIEW CT E, ONALASKA, WI 54650-9637
(608) 519-0775
Mailing address
N5820 LAKEVIEW CT E, ONALASKA, WI 54650-9637
(608) 519-0775
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
305839
WI
Other
Enumeration date
02/03/2015
Last updated
02/03/2015
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