Individual
LUCINDA L. ELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN FNP
Contact information
Practice address
1430 4TH STREET, SCHOOL DISTRICT BELOIT WELLNESS CLINIC, BELOIT, WI 53511-4442
(608) 361-1950
(608) 365-1621
Mailing address
1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM, INC, BELOIT, WI 53511-1842
(608) 364-2200
(608) 363-7395
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2837
WI
363LF0000X
Family Nurse Practitioner
Primary
2837-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14766
DEAN HEALTH PLAN
—
05
—
36001500
—
WI
Enumeration date
03/12/2007
Last updated
02/16/2012
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