Lerret, Stacee M

Lerret, Stacee M is an individual health care provider with primary practice located at 9000 W Wisconsin Ave Pediatric Gastroenterology, Milwaukee WI 53226-4874. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Lerret, Stacee M can be contacted via phone (414) 266-3944.

Contact Information

Primary practice address
9000 W Wisconsin Ave Pediatric Gastroenterology Milwaukee WI 53226-4874
Fax: (414) 266-3676
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 2331 Wisconsin

Profile Details

NPI number 1750332599
LBN Legal business name Lerret, Stacee M
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated May 7th, 2014 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1750332599 NPPES
Wisconsin MEDICAID 1750332599

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