Individual
MS. DIXIE LEA JEFFERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2493 ROUND LAKE RD, LUCK, WI 54853-5302
(715) 472-2623
Mailing address
2493 ROUND LAKE RD, LUCK, WI 54853-5302
(715) 472-2623
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
13972-031
WI
Other
Enumeration date
04/11/2008
Last updated
04/11/2008
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