Individual
MS. LONIE LOUISE DAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
472 BRAGG ST, FOND DU LAC, WI 54935-3979
(920) 382-3785
Mailing address
472 BRAGG ST, FOND DU LAC, WI 54935-3979
(920) 382-3785
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
305629-31
WI
Other
Enumeration date
02/01/2018
Last updated
02/01/2018
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