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Individual

DAMIEN LEMIEUX

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APNP

Contact information

Practice address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
(414) 649-6000
(414) 649-5296
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
14666
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100271698
WI
05
1639938871
WI
Enumeration date
03/18/2024
Last updated
02/17/2025
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