Individual
CONNIE LEE STEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4412 6TH AVE, LOWER 1, KENOSHA, WI 53140-2934
(262) 914-0207
Mailing address
4412 6TH AVE, LOWER 1, KENOSHA, WI 53140-2934
(262) 914-0207
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
305331
WI
Other
Enumeration date
05/20/2009
Last updated
05/20/2009
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