Individual
MS. STACY LYNN GALLAGHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1060 BITTEL ST, BELOIT, WI 53511
(608) 921-2273
Mailing address
1060 BITTEL ST, BELOIT, WI 53511
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
311116
WI
Other
Enumeration date
09/04/2017
Last updated
09/04/2017
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