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Individual

MS. NANCY KAY LAWTON-SHIRLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
2705 ENLOE ST, HUDSON, WI 54016-8173
(715) 386-2128
(715) 386-6119
Mailing address
237 COVE LN, HUDSON, WI 54016-8030
(715) 386-9572

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
652
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
15665
HEALTH PARTNERS
05
40607400
WI
01
6407101
MEDICA
01
641671046996
PREFERRED ONE
01
7648022
AETNA
01
98G99LA
MN BCBS
MN
Enumeration date
09/25/2006
Last updated
07/09/2007
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