Individual
MRS. LAUREN RENEE LOOFBORO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
216 E MADISON AVE, MILTON, WI 53563-1315
(920) 723-3128
Mailing address
216 E MADISON AVE, MILTON, WI 53563-1315
(920) 723-3128
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
307205-031
WI
Other
Enumeration date
08/04/2008
Last updated
08/04/2008
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