Individual
MRS. LENORE MARIE DESOUTO-THREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4815 FAIRWAY DR, WATERFORD, WI 53185-3389
(262) 806-4009
(877) 823-1670
Mailing address
4815 FAIRWAY DR, WATERFORD, WI 53185-3389
(262) 806-4009
(877) 823-1670
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38351200
—
WI
Enumeration date
11/20/2006
Last updated
07/09/2007
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