Individual
MRS. LESLEY R LATHROP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R N
Contact information
Practice address
1764 OAKRIDGE COURT, MENASHA, WI 54952
(920) 738-7479
Mailing address
1764 OAKRIDGE CT, MENASHA, WI 54952
(920) 738-7479
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
62890-030
WI
Other
Enumeration date
07/11/2008
Last updated
07/11/2008
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