Leilane U Sta Romana Mdsc

NPI 1023153947 - Internal Medicine - 207R00000X

NPI Details
NPI 1023153947
Enumeration Date 02/20/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LEILANE U LEILANE
Position OWNER AND PRESIDENT
Phone (262) 658-3706
Fax
Practice Location
3734 7TH AVE
DOMINICAN BUILDING SUITE 15
KENOSHA WI, 53140-5525, US
Phone (262) 658-3706
Fax
Business Location
3734 7TH AVE
DOMINICAN BUILDING SUITE 15
KENOSHA WI, 53140-5525, US
Phone (262) 658-3706
Fax
Toxanomy
Taxonomy Code 207R00000X
License State
License Number
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According to our database, Leilane U Sta Romana Mdsc NPI is 1023153947, taxonomy code is 207R00000X Leilane U Sta Romana Mdsc physically located at 3734 7th Ave, Kenosha WI, 53140-5525. NPI Number 1033115704 has the healthcare provider type.

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1023153947 NPI number is provided on an as is basis without warranty of any kind. 1023153947 is maintained by the National Plan & Provider Enumeration System. The contents of Leilane U Sta Romana Mdsc are for informational purposes only.