Lolita Allen, RN

Individual provider Active NPI Registered Nurse · Milwaukee, WI

NPI 1780935692 · NPPES record last updated Oct 2, 2012

Key facts

NPI
1780935692
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
190381-30 (WI)
Practice address
1908 W Nash St
Milwaukee, WI 53206-2417
Phone
(414) 736-3121
NPI assigned
Oct 2, 2012
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
190381-30WIMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 190381-30 WI Yes

Addresses

Primary practice location

1908 W Nash St
Milwaukee, WI 53206-2417

Mailing address

1908 W Nash St
Milwaukee, WI 53206-2417
Phone (414) 736-3121

Other providers in Milwaukee, WI

All providers in Milwaukee, WI · Registered Nurse in Wisconsin

Sources for this page

Verify at the official NPI Registry.