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Individual

LEE A WERNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
339 REED AVE, MANITOWOC, WI 54220-2020
(920) 320-8600
(920) 320-8662
Mailing address
339 REED AVE, MANITOWOC, WI 54220-2020
(920) 320-8600
(920) 320-8662

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1620
WI
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
1620-003
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
43899800
WI
Enumeration date
11/21/2005
Last updated
03/28/2008
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