NPI 1003059353

Mary Grace Hernandez Lasquety, MD

Practitioner Family Medicine Physician Milwaukee, WI

Practice location

Address: 2311 N Prospect Ave, Milwaukee, WI 53211-4445
Phone: (414) 319-3000
Fax: (414) 319-3033
Mailing address: 4425 N Port Washington Rd, Glendale, WI 53212-1082

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 56635 (WI)

Other Family Medicine providers in Wisconsin →

Registry record

NPI: 1003059353
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Apr 2009
Record last updated: 20 Aug 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.