Lease, Mary K

Lease, Mary K is an individual health care provider with primary practice located at 1037 Lincoln Rd , Oregon WI 53575-3464. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Lease, Mary K can be contacted via phone (608) 835-1105.

Contact Information

Primary practice address
1037 Lincoln Rd Oregon WI 53575-3464
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X Wisconsin

Profile Details

NPI number 1881655355
LBN Legal business name Lease, Mary K
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Jul 9th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881655355 NPPES
Wisconsin MEDICAID 38293000

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