Desouto-Thren, Lenore Marie
Desouto-Thren, Lenore Marie is an sole proprietor health care provider with primary practice located at 4815 Fairway Dr , Waterford WI 53185-3389. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Desouto-Thren, Lenore Marie can be contacted via phone (262) 806-4009.Contact Information
Primary practice address
4815 Fairway Dr
Waterford WI 53185-3389
Phone: (262) 806-4009
Fax: (877) 823-1670
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Practical Nurse | 164W00000X | Wisconsin |
Profile Details
| NPI number | 1386718203 |
|---|---|
| LBN Legal business name | Desouto-Thren, Lenore Marie |
| Credentials | Licensed Practical Nurse (LPN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 20th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386718203 | NPPES |
| Wisconsin | MEDICAID | 38351200 |
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