Individual
VICKI LYNNE IVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1407 ST. ANDREW ST., LA CROSSE, WI 54603
(608) 785-6267
Mailing address
1407 ST. ANDREW ST., LA CROSSE, WI 54603
(608) 785-6267
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
157949-30
WI
Other
Enumeration date
03/24/2016
Last updated
03/24/2016
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