Individual
LAURA M LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
13111 N PORT WASHINGTON RD, MEQUON, WI 53097-2416
(414) 290-6720
(414) 290-6755
Mailing address
111 E WISCONSIN AVE, SUITE 2000, MILWAUKEE, WI 53202-4815
(414) 290-6720
(414) 290-6755
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5696-33
WI
Other
Enumeration date
06/17/2014
Last updated
01/06/2022
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