NPI 1093588873

L'Shay Nikkol Manuel

Practitioner Specialist Milwaukee, WI

Practice location

Address: 1834 W Wisconsin Ave STE 200, Milwaukee, WI 53233-2105
Phone: (414) 935-2004

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

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Registry record

NPI: 1093588873
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Nov 2023
Record last updated: 2 Nov 2023

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.