LAKESIDE FAMILY PRACTICE

Family Nurse Practitioner

NPI: 1831698430Organization

Specialties, Licenses & Credentials

Gerontology Nurse Practitioner

Nurse Practitioner — Gerontology

Code: 363LG0600X

6190-33(WI)

Family Nurse PractitionerPrimary

Nurse Practitioner — Family

Code: 363LF0000X

2011006054(WI)

Contact & Hours

Address: 3200 SHERIDAN RD STE 104
KENOSHA, WI 53140
Phone: (262) 225-1014

Quick Facts

NPI: 1831698430
Entity Type: Organization
Medicare: Not confirmed
Specialties: 2
Locations: 1

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