Individual
MISS AMIE LEE CONLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
517 FRANKLIN AVE, LAKE GENEVA, WI 53147-1321
(262) 676-1422
Mailing address
517 FRANKLIN AVE, LAKE GENEVA, WISCONSIN 53147
(262) 676-1422
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
306818031
WI
Other
Enumeration date
06/16/2010
Last updated
06/16/2010
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