Individual
MRS. NICOLE RENEE LAMBECK-JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5304 E COUNTY ROAD M, GORDON, WI 54838-4102
(414) 232-1658
Mailing address
5304 E COUNTY ROAD M, GORDON, WI 54838-4102
(414) 232-1658
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
L5126367768308
WI
Other
Enumeration date
09/29/2023
Last updated
09/29/2023
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