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Individual

MS. LAWANDA MONIQUE CALHOUN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2829 N 61ST ST, MILWAUKEE, WI 53210-2112
(414) 759-9673
Mailing address
8312 N 97TH ST, MILWAUKEE, WI 53224-2745
(414) 759-9673

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
303419-031
WI

Other

Enumeration date
12/05/2010
Last updated
12/05/2010
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