Lorelle M Manion, Md, Sc

NPI 1023225042 - Clinic/Center - 261QP2300X

NPI Details
NPI 1023225042
Enumeration Date 05/17/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LORELLE MICHELLE LORELLE
Position PRESIDENT
Phone (262) 784-3200
Fax (262) 784-8198
Practice Location
1305 N BARKER RD
SUITE 1
BROOKFIELD WI, 53045-5230, US
Phone (262) 784-3200
Fax (262) 784-8198
Business Location
PO BOX 5005
WAUKESHA WI, 53187-5005, US
Phone
Fax
Toxanomy
Taxonomy Code 261QP2300X
License State Wisconsin
License Number 35609
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According to our database, Lorelle M Manion, Md, Sc NPI is 1023225042, taxonomy code is 261QP2300X and license number is 35609, license state is located at Wisconsin. Lorelle M Manion, Md, Sc physically located at 1305 N Barker Rd, Brookfield WI, 53045-5230. NPI Number 1033115704 has the healthcare provider type.

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1023225042 NPI number is provided on an as is basis without warranty of any kind. 1023225042 is maintained by the National Plan & Provider Enumeration System. The contents of Lorelle M Manion, Md, Sc are for informational purposes only.