| NPI | 1831343797 |
|---|---|
| Other Name | LORELLE M MANION MD, SC |
| Entity Type | Organization |
| Authorized Contact | LORELLE M MANION Md 262-784-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 35609-020) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 45644-020) |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2008-11-05 |