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Samantha Marie Lease, DO
Student in an Organized Health Care Education/Training Program in Verona, Wisconsin
NPI 1336834662

Samantha Marie Lease is a Student in an Organized Health Care Education/Training Program based in Madison, WI. Samantha Marie Lease practices in Verona, WI and has the professional credentials of DO. The NPI Number for Samantha Marie Lease is 1336834662 and holds a License No. (Wisconsin).

The current practice location address for Samantha Marie Lease is 100 N Nine Mound Rd, Verona, WI and can be reached out via phone at 608-845-9531 and via fax at 608-845-8684.

Location: 100 N Nine Mound Rd, Verona, WI, 53705-2700
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336834662
Provider Name
Samantha Marie Lease
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
100 N Nine Mound Rd, Verona, WI, 53705-2700
Phone Number
608-845-9531
Fax Number
608-845-8684
Provider Enumeration Date
04/11/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
100 N Nine Mound Rd
City
Verona
State
Wisconsin
Zip
53593-1032
Phone Number
608-845-9531
Fax Number
608-845-8684
person
Provider Business Mailing Address Details
Address
100 N Nine Mound Rd
City
Verona
State
Wisconsin
Zip
53593-1032
Phone Number
608-845-9531
Fax Number
608-845-8684
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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