Individual
LONNIE BRIGHAM II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3512 MIDVALE DR APT 8, JANESVILLE, WI 53546-1199
(608) 290-3619
Mailing address
3512 MIDVALE DR APT 8, JANESVILLE, WI 53546-1199
(608) 290-3619
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
12/17/2019
Last updated
12/17/2019
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