Individual
MS. STACEE M LERRET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
9000 W WISCONSIN AVE, PEDIATRIC GASTROENTEROLOGY, MILWAUKEE, WI 53226-4874
(414) 266-3944
(414) 266-3676
Mailing address
9000 W WISCONSIN AVE, PEDIATRIC GASTROENTEROLOGY, MILWAUKEE, WI 53226-4874
(414) 266-3944
(414) 266-3676
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2331
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750332599
—
WI
Enumeration date
05/15/2006
Last updated
05/07/2014
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