Individual
VICKI LEE SODERBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
W7955 CREEK RD TRLR 402, DELAVAN, WI 53115-3181
(262) 740-1755
Mailing address
W7955 CREEK RD TRLR 402, DELAVAN, WI 53115-3181
(262) 740-1755
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
306484-031
WI
Other
Enumeration date
10/17/2008
Last updated
10/17/2008
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