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Individual

MS. LORETTA SHEM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, BSN

Contact information

Practice address
499 MANNING WAY, LAKE GENEVA, WI 53147-2084
(847) 254-8240
Mailing address
499 MANNING WAY, LAKE GENEVA, WI 53147-2084
(847) 254-8240

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
7809230
WI
163WS0200X
School Registered Nurse
041195124
IL

Other

Enumeration date
06/27/2014
Last updated
06/27/2014
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