Individual
MS. MARY GRACE LEMMENES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
N4439 MEADOW RD, BRANDON, WI 53919-9734
(920) 346-2187
Mailing address
N4439 MEADOW ROAD, WISCONSIN, WI 53919
(920) 346-2187
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
3188033
WI
Other
Enumeration date
07/03/2008
Last updated
07/03/2008
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