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Individual

LEILANI GRUEZO LUELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
248 MCHENRY ST, BURLINGTON, WI 53105-1828
(262) 767-8000
(262) 767-8190
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209018826
IL
363L00000X
Nurse Practitioner
Primary
8918
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100095922
WI
Enumeration date
02/22/2019
Last updated
12/23/2025
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