Individual
MY SEE LUANGLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
101 MAIN ST, NEENAH, WI 54956-2570
(920) 727-4420
Mailing address
101 MAIN ST, NEENAH, WI 54956-2570
(920) 727-4420
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
147753-30
WI
Other
Enumeration date
08/03/2012
Last updated
08/29/2014
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