Individual
MS. LAUREL D REW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
W7140 GILLETTE DR, DALTON, WI 53926-9361
(312) 204-9617
Mailing address
1109 SILVER DR APT 6, BARABOO, WI 53913-8928
(312) 204-9617
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
98096-30
WI
Other
Enumeration date
11/03/2016
Last updated
11/03/2016
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