Individual
MRS. ELIZABETH JEAN KLEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1030 S 20TH ST, MANITOWOC, WI 54220-4909
(920) 860-4815
Mailing address
1030 S 20TH ST, MANITOWOC, WI 54220-4909
(920) 860-4815
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
311852-031
WI
Other
Enumeration date
10/20/2010
Last updated
10/20/2010
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