Individual
LAURA ANN DOLPHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
12415 W GLENDALE AVE, BUTLER, WI 53007-1906
(414) 559-3653
Mailing address
12415 WEST GLENDALE AVE., BUTLER, WI 53007-1904
(414) 559-3653
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
313022
WI
Other
Enumeration date
04/12/2011
Last updated
04/12/2011
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