Individual
LACHELLE ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3133 N 46TH ST, MILWAUKEE, WI 53216-3305
(414) 232-3310
Mailing address
3133 N 46TH ST, MILWAUKEE, WI 53216-3305
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
3368-031
WI
Other
Enumeration date
03/09/2010
Last updated
03/09/2010
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