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Lonnie Brigham II
Respite Care in Janesville, Wisconsin
NPI 1952949273

Lonnie Brigham II is a Respite Care based in Janesville, WI. Lonnie Brigham II practices in Janesville, WI. The NPI Number for Lonnie Brigham II is 1952949273 and holds a License No. (Wisconsin).

The current practice location address for Lonnie Brigham II is 3512 Midvale Dr Apt 8, Janesville, WI and can be reached out via phone at 608-290-3619.

Location: 3512 Midvale Dr Apt 8, Janesville, WI, 53546-1199
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952949273
Provider Name
Lonnie Brigham II
Credential
Provider Entity Type
Individual
Gender
Male
Address
3512 Midvale Dr Apt 8, Janesville, WI, 53546-1199
Phone Number
608-290-3619
Fax Number
Provider Enumeration Date
12/17/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3512 Midvale Dr Apt 8
City
Janesville
State
Wisconsin
Zip
53546-1199
Phone Number
608-290-3619
Fax Number
person
Provider Business Mailing Address Details
Address
3512 Midvale Dr Apt 8
City
Janesville
State
Wisconsin
Zip
53546-1199
Phone Number
608-290-3619
Fax Number
person
Provider's Taxonomy Details 1
Type
Respite Care Facility
Classification
Respite Care
Speciality
-
Taxonomy
385H00000X
License No.
()
Definition
Definition to come.
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