Individual
LAURA LEE RASCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8425 103RD AVE, PLEASANT PRAIRIE, WI 53158-2100
(262) 358-2403
Mailing address
8425 103RD AVE, PLEASANT PRAIRIE, WI 53158-2100
(262) 358-2403
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
221657-30
WI
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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