Individual
MS. LANITA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5850 N 42ND ST, MILWAUKEE, WI 53209
(414) 522-2644
Mailing address
3900 W BROWN DEER RD STE A, BROWN DEER, WI 53209-1220
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
258641-30
WI
164W00000X
Licensed Practical Nurse
312544-31
WI
Other
Enumeration date
05/28/2010
Last updated
02/16/2022
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