Individual
CARESE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4710 N 40TH ST, MILWAUKEE, WI 53209-5812
(414) 419-7652
Mailing address
4710 N 40TH ST, MILWAUKEE, WI 53209-5812
(414) 419-7652
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
305277-31
WI
Other
Enumeration date
06/03/2009
Last updated
06/03/2009
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