Individual
LOLITA ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1908 W NASH ST, MILWAUKEE, WI 53206-2417
(414) 736-3121
Mailing address
1908 W NASH ST, MILWAUKEE, WI 53206-2417
(414) 736-3121
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
190381-30
WI
Other
Enumeration date
10/02/2012
Last updated
10/02/2012
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