Leilane U Sta Romana MD

NPI 1013934827 - Internal Medicine - 207R00000X

NPI Details
NPI 1013934827
Gender Female
Enumeration Date 07/16/2006
Last Updated 06/13/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
6127 GREEN BAY RD
#200
KENOSHA WI, 53142-2929, US
Phone (262) 658-3706
Fax (262) 658-1751
Business Location
6127 GREEN BAY RD
#200
KENOSHA WI, 53142-2929, US
Phone (262) 658-3706
Fax (262) 658-1751
Toxanomy
Taxonomy Code 207R00000X
License State Wisconsin
License Number 32522
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According to our database, Leilane U Sta Romana MD NPI is 1013934827, taxonomy code is 207R00000X and license number is 32522, license state is located at Wisconsin. Leilane U Sta Romana MD physically located at 6127 Green Bay Rd, Kenosha WI, 53142-2929. NPI Number Leilane U Sta Romana MD has the Individual type.

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1013934827 NPI number is provided on an as is basis without warranty of any kind. 1013934827 is maintained by the National Plan & Provider Enumeration System. The contents of Leilane U Sta Romana MD are for informational purposes only.