Individual
MISS KATELYN MARIE LAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6940 CUMMENS CT, HARTFORD, WI 53027-9785
(786) 427-3432
Mailing address
6940 CUMMENS CT, HARTFORD, WI 53027-9785
(786) 427-3432
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
320191
WI
Other
Enumeration date
09/07/2018
Last updated
09/07/2018
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