Individual
MRS. ANGELA ROSE LAMINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1714 REVERE TRL, DE PERE, WI 54115-1726
(920) 373-6850
Mailing address
1714 REVERE TRL, DE PERE, WI 54115-1726
(920) 373-6850
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
306506-31
WI
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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