Individual
LEAH LALOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226
(414) 266-6430
(414) 266-3315
Mailing address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 266-6430
(414) 266-3315
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
69446
WI
207NP0225X
Pediatric Dermatology Physician
Primary
69446
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538451554
—
WI
Enumeration date
05/10/2011
Last updated
03/12/2024
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