Individual
LAQUINTA DESHAZOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2814 S 108TH ST, MILWAUKEE, WI 53227-3224
(414) 885-3525
Mailing address
8444 N 90TH ST STE 100, SCOTTSDALE, AZ 85258-4437
(602) 248-8886
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
240226
WI
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
240226
WI
Other
Enumeration date
03/18/2026
Last updated
03/31/2026
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