Individual
LEAH RENE CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1725 STATE ST, LA CROSSE, WI 54601-3742
(608) 785-8000
Mailing address
415 KING ST, APT 510, LA CROSSE, WI 54601-4078
(608) 669-5324
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
196552-30
WI
Other
Enumeration date
08/27/2013
Last updated
08/27/2013
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