Individual
MRS. TAMMY LADURON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1648 S 63RD ST, WEST ALLIS, WI 53214-5014
(414) 551-4210
(866) 317-4218
Mailing address
1648 S 63RD ST, WEST ALLIS, WI 53214-5014
(414) 551-4210
(866) 317-4218
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
303034-31
WI
Other
Enumeration date
11/21/2014
Last updated
11/21/2014
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