Individual
LAURA M IGLESIAS LINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3220 W VLIET ST, MILWAUKEE, WI 53208-2453
(414) 231-4000
(414) 231-4010
Mailing address
3220 W VLIET ST, MILWAUKEE, WI 53208-2453
(414) 231-4000
(414) 231-4010
Taxonomy
Speciality
Code
Description
License number
State
207PH0002X
Hospice and Palliative Medicine (Emergency Medicine) Physician
240572
MA
207R00000X
Internal Medicine Physician
240572
MA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
74077
MA
208M00000X
Hospitalist Physician
240572
MA
Other
Enumeration date
07/01/2009
Last updated
01/25/2024
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