Organization
CLEMENT J. ZABLOCKI VA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LYNETTE BOYD (LPN)
(414) 259-1239
Entity
Organization
Contact information
Practice address
2172 N 63RD ST, WAUWATOSA, WI 53213-2026
(414) 259-1239
Mailing address
2172 N 63RD ST, WAUWATOSA, WI 53213-2026
(414) 259-1239
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
35045700
—
282N00000X
General Acute Care Hospital
Primary
35045700
WI
Other
Enumeration date
05/08/2008
Last updated
05/08/2008
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