IVY E LEASUM

DE PERE, WI
NPI1295925824
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: WI  3141-33)
Enumeration Date2007-07-30
Last Update Date2024-04-22
Business Address
IVY E LEASUM NP
320 N WISCONSIN ST
DE PERE, WI 54115-2737
Phone number: 920-327-7056
Mailing Address
IVY E LEASUM NP
320 N WISCONSIN ST
DE PERE, WI 54115-2737
Phone number: 920-327-7056
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