Individual
JENNA LAVIN DOBLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
N15W28300 GOLF RD, PEWAUKEE, WI 53072-4800
(262) 303-5055
(262) 303-5057
Mailing address
N15W28300 GOLF RD, PEWAUKEE, WI 53072-4800
(262) 303-5055
(262) 303-5057
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
148562-30
WI
163W00000X
Registered Nurse
RN2280800
MA
367500000X
Certified Registered Nurse Anesthetist
0024171651
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
14690-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100292265
—
WI
Enumeration date
09/17/2012
Last updated
10/25/2024
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