Individual
KRISTINE MARIE LAMOTHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
914 69TH ST, KENOSHA, WI 53143-5410
(262) 945-8884
Mailing address
914 69TH ST, KENOSHA, WI 53143-5410
(262) 945-8884
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
043.103286
IL
164W00000X
Licensed Practical Nurse
Primary
307708-031
WI
Other
Enumeration date
03/11/2009
Last updated
03/11/2009
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