Individual
LEAH COPPOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
263 N MUSKET RIDGE DR, SUN PRAIRIE, WI 53590-3486
(608) 598-0889
Mailing address
263 N MUSKET RIDGE DR, SUN PRAIRIE, WI 53590-3486
(608) 598-0889
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
312997-31
WI
253Z00000X
In Home Supportive Care Agency
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Other
Enumeration date
01/25/2025
Last updated
01/25/2025
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