Individual
LAMONT PERKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4480 N 70TH ST, MILWAUKEE, WI 53218-5405
(414) 544-1044
(414) 202-1840
Mailing address
4480 N 70TH ST, MILWAUKEE, WI 53218-5405
(414) 544-1044
(414) 202-1840
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
P625-5247-3326-03
WI
Other
Enumeration date
04/27/2015
Last updated
04/27/2015
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