| NPI | 1255952149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARISSA M LAWRENCE Owner/Family Nurse Practitioner 414-554-9774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care |
| Enumeration Date | 2020-05-01 |
| Last Update Date | 2024-12-16 |