institution
Lorelle M Manion, Md, Sc
Primary Care Clinic/Center in Brookfield, Wisconsin
NPI 1023225042

Lorelle M Manion, Md, Sc is a Primary Care Clinic/Center based in Waukesha, WI and is specialized in Primary Care. Lorelle M Manion, Md, Sc practices in Brookfield, WI. The NPI Number for Lorelle M Manion, Md, Sc is 1023225042 and holds a License No. 35609 (Wisconsin).

The current practice location address for Lorelle M Manion, Md, Sc is 1305 N Barker Rd, Brookfield, WI and can be reached out via phone at 262-784-3200 and via fax at 262-784-8198. You can also correspond with Lorelle M Manion, Md, Sc through the mailing address at PO BOX 5005, WAUKESHA, WI - 53187-5005 (mailing address contact number: ).

Location: 1305 N Barker Rd, Brookfield, WI, 53187-5005
institution
Provider Profile Details
NPI Number
1023225042
Provider Name
Lorelle M Manion, Md, Sc
Credential
Provider Entity Type
Organization
Address
1305 N Barker Rd, Brookfield, WI, 53187-5005
Phone Number
262-784-3200
Fax Number
262-784-8198
Provider Enumeration Date
05/17/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
32207500 05 WI
35609 01 WI WISCONSIN STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
1305 N Barker Rd
City
State
Zip
53045-5230
Phone Number
262-784-3200
Fax Number
262-784-8198
person
Provider Business Mailing Address Details
Address
Po Box 5005
City
State
Zip
53187-5005
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
35609 (Wisconsin)
Definition
Definition to come...
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