LORELLE MICHELLE MANION M.D. NPI 1336356336

NPI Information

NPI: 1336356336
Provider Name: LORELLE MICHELLE MANION, M.D.
Classification: Clinic/Center - 261QP2300X
Entity Type: Individual

Specialization: Primary Care

Address:
1305 N BARKER RD
BROOKFIELD, WI
ZIP 53045
Phone: (262) 784-3200
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Lorelle Michelle Manion, M.D. is a primary care clinic center in Brookfield, WI. Lorelle Michelle Manion, M.D. NPI is 1336356336. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

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

The enumeration date for this NPI number is 5/17/2007 and was last updated on 7/8/2007.

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
1	261QP2300X	Clinic/Center	Primary Care	35609	WISCONSIN	Yes

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
1	35609	OTHER	WISCONSIN	WISCONSIN STATE LICENSE
2	32207500	MEDICAID	WISCONSIN
3	68802	MEDICARE ID-TYPE UNSPECIFIED	WISCONSIN
4	G23912	MEDICARE UPIN	WISCONSIN

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: 11/14/2023

NPI Synchronization or Removal

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