Lenore Marie Desouto-Thren, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

Practice address

4815 Fairway Dr
Waterford, WI 53185-3389

Phone

(262) 806-4009

Fax

(877) 823-1670

NPI assigned

Nov 20, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1386718203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4815 FAIRWAY DR",
            "city": "WATERFORD",
            "state": "WI",
            "postal_code": "531853389",
            "telephone_number": "262-806-4009",
            "fax_number": "877-823-1670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 FAIRWAY DR",
            "city": "WATERFORD",
            "state": "WI",
            "postal_code": "531853389",
            "telephone_number": "262-806-4009",
            "fax_number": "877-823-1670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESOUTO-THREN",
        "first_name": "LENORE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38351200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jose Crespo
• Lisa Lyn Cruz, DDS, MS
• Deidri Daigneault, OTR
• Jennifer Jayne Decker, MD
• Allison Rose Delorme, D.D.S.
• Pavneet Kaur Dhillon, PHARMD
• Christine M Dignan, MD
• Erin Emily Droy, MD
• Cathy Jo Duchow-Cross, FNP
• Kim T Duczak, APNP

• Licensed Practical Nurse in Waterford, WI
• Providers in Waterford, WI by specialty
• Licensed Practical Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.