Individual
MRS. TRACI J LEBOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
W9656 US HIGHWAY 14, DARIEN, WI 53114-1232
(262) 224-6559
Mailing address
W9656 US HIGHWAY 14, DARIEN, WI 53114-1232
(262) 224-6559
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
173531-030
WI
Other
Enumeration date
01/13/2011
Last updated
01/13/2011
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