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Individual

MRS. REBECCA DIANE LAUBER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
N6989 NEUPERT RD, LAKE MILLS, WI 53551-9623
(920) 648-2676
Mailing address
N6989 NEUPERT RD, LAKE MILLS, WI 53551-9623
(920) 648-2676

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
112676-030
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
35064900
WI
Enumeration date
08/19/2008
Last updated
08/19/2008
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