Individual
MRS. LORA J STONELAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
309 GAGE ST, KIMBERLY, WI 54136-1377
(920) 687-3858
Mailing address
309 GAGE ST, KIMBERLY, WI 54136-1377
(920) 687-3858
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
302233-031
WI
Other
Enumeration date
11/15/2009
Last updated
11/15/2009
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