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Ms. Carolyn Louise Lathan, LPN
Licensed Practical Nurse in Kenosha, Wisconsin
NPI 1558483727

Carolyn Louise Lathan is a Licensed Practical Nurse based in Kenosha, WI. Carolyn Louise Lathan practices in Kenosha, WI and has the professional credentials of LPN. The NPI Number for Carolyn Louise Lathan is 1558483727 and holds a License No. 21256031 (Wisconsin).

The current practice location address for Carolyn Louise Lathan is 7020 36Th Ave, Kenosha, WI and can be reached out via phone at 262-652-1001. You can also correspond with Carolyn Louise Lathan through the mailing address at 7020 36TH AVE, KENOSHA, WI - 53142-3947 (mailing address contact number: 262-652-1001).

Location: 7020 36Th Ave, Kenosha, WI, 53142-3947
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558483727
Provider Name
Carolyn Louise Lathan
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
7020 36Th Ave, Kenosha, WI, 53142-3947
Phone Number
262-652-1001
Fax Number
Provider Enumeration Date
04/06/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
39865800 01 WI PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
7020 36Th Ave
City
Kenosha
State
Wisconsin
Zip
53142-3947
Phone Number
262-652-1001
Fax Number
person
Provider Business Mailing Address Details
Address
7020 36Th Ave
City
Kenosha
State
Wisconsin
Zip
53142-3947
Phone Number
262-652-1001
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
21256031 (Wisconsin)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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