Individual
DERRI LEPESKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN RN
Contact information
Practice address
405 E MAPLE ST, MONTFORT, WI 53569-9738
(773) 220-1496
Mailing address
405 E MAPLE ST, MONTFORT, WI 53569-9738
(773) 220-1496
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
247621-30
WI
Other
Enumeration date
03/03/2022
Last updated
03/03/2022
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