| NPI | 1639504004 |
|---|---|
| Doing Business As | ADVANCED LIPIDOLOGY |
| Entity Type | Organization |
| Authorized Contact | PAULINE F HARIRIE President 262-646-3223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SF0001X Clinical Nurse Specialist, Family Health |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 0019493-20) |
| 207R00000X Internal Medicine | |
| 363AM0700X Physician Assistant, Medical (Licence: WI 838-023) | |
| 363AM0700X Physician Assistant, Medical | |
| 364SF0001X Clinical Nurse Specialist, Family Health (Licence: WI 1842-33) | |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2018-08-31 |