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Individual

MS. LOIS CAROL ROBERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APNP

Contact information

Practice address
9000 W WISCONSIN AVE, PEDIATRIC GASTROENTEROLOGY, MILWAUKEE, WI 53226-4874
(414) 266-3690
(414) 266-3676
Mailing address
9000 W WISCONSIN AVE, PEDIATRIC GASTROENTEROLOGY, MILWAUKEE, WI 53226-4874
(414) 266-3690
(414) 266-3676

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2076
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1942244058
WI
05
73601 2378
WI
Enumeration date
06/16/2006
Last updated
01/06/2016
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