Individual
LAMYA BOUJELBANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., MPH
Contact information
Practice address
945 N 12TH ST, MILWAUKEE, WI 53233-1305
(414) 219-2000
Mailing address
945 N 12TH ST, MILWAUKEE, WI 53233-1305
(414) 219-2000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
55724
WI
207RN0300X
Nephrology Physician
Primary
55724
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100023756
—
WI
Enumeration date
04/07/2009
Last updated
11/24/2021
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