Individual
LAURIE O'NEIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
253 COUNTY ROAD C, ELLSWORTH, WI 54011-5098
(651) 210-7676
Mailing address
253 COUNTY ROAD C, ELLSWORTH, WI 54011-5098
(651) 210-7676
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
313778
WI
Other
Enumeration date
05/10/2023
Last updated
05/10/2023
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