Organization
INTEGRATIVE MEDICAL SOLUTIONS OF LAKE MILLS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PROF. NICOLE LEE BERG-JOHNSON RN, APNP (ADV PRACTICE NURSE PRACTITIONER)
(262) 510-7412
Entity
Organization
Contact information
Practice address
125 E PINE ST STE C, LAKE MILLS, WI 53551-1103
(920) 648-5271
(920) 648-4365
Mailing address
125 E PINE ST STE C, LAKE MILLS, WI 53551-1103
(920) 648-5271
(920) 648-4365
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/29/2021
Last updated
10/29/2021
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