LORELLE M MANION MD SC NPI 1023225042

NPI Information

  • NPI: 1023225042
  • Provider Name: LORELLE M MANION, MD, SC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 1305 N BARKER RD
    SUITE 1
    BROOKFIELD, WI
    ZIP 53045
  • Phone: (262) 784-3200

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NPI Details

LORELLE M MANION, MD, SC is a primary care clinic center in Brookfield, WI. LORELLE M MANION, MD, SC NPI is 1023225042. The provider is registered as an organization entity type.

The provider's business location address is:

1305 N BARKER RD
SUITE 1
BROOKFIELD, WI
ZIP 53045-230
Phone: (262) 784-3200
Fax: (262) 784-8198

The provider's authorized official is Lorelle Michelle Manion .
The authorized official title is President and has the following contact phone number (262) 784-3200.

The enumeration date for this NPI number is 5/17/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary Care35609WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
132207500MEDICAIDWISCONSIN
235609OTHERWISCONSINWISCONSIN STATE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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