Individual
MS. KIM S RACCHINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5402 LACY RD, FITCHBURG, WI 53711-5316
(608) 276-8186
Mailing address
5402 LACY RD, FITCHBURG, WI 53711-5316
(608) 276-8186
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
25279-031
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35043600
—
WI
Enumeration date
06/19/2008
Last updated
06/19/2008
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