Individual
LAUREN TENNIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1319 S INDIANA AVE, WEST BEND, WI 53095-5193
(262) 707-5941
Mailing address
1319 S INDIANA AVE, WEST BEND, WI 53095-5193
(262) 707-5941
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
172692-30
WI
Other
Enumeration date
02/19/2014
Last updated
02/19/2014
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