NPI 1548579139

Laurie Ann Mediate, LPN

Practitioner Licensed Practical Nurse Elkhorn, WI

Practice location

Address: 1019 N Church St APT. 102, Elkhorn, WI 53121-1185
Phone: (262) 215-6947

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 312419-031 (WI)

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Registry record

NPI: 1548579139
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Sep 2010
Record last updated: 29 Sep 2010

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.