Individual
LINDA LAROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2747 S TAYLOR AVE, MILWAUKEE, WI 53207-2149
(414) 379-1209
Mailing address
2747 S TAYLOR AVE, MILWAUKEE, WI 53207-2149
(414) 379-1209
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
099082
IA
163W00000X
Registered Nurse
Primary
77030-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38227800
—
WI
Enumeration date
01/03/2009
Last updated
01/03/2009
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