Individual
CONNIE JORDAN LAMBETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM, LM
Contact information
Practice address
4506 WALLACE AVE, MONONA, WI 53716-1039
(608) 609-1801
Mailing address
4506 WALLACE AVE, MONONA, WI 53716-1039
(608) 609-1801
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
323-49
WI
Other
Enumeration date
12/12/2023
Last updated
12/12/2023
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