Individual
LORA DENISE MCMILLIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5500 N 56TH ST, MILWAUKEE, WI 53218-3220
(414) 595-5132
Mailing address
5500 N 56TH ST, MILWAUKEE, WI 53218-3220
(414) 595-5132
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
199041
WI
Other
Enumeration date
11/03/2009
Last updated
02/17/2017
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