Lacap, Marilyn Gutierrez

Lacap, Marilyn Gutierrez is an individual health care provider with primary practice located at 4031 N 110Th St , Wauwatosa WI 53222-1102. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Lacap, Marilyn Gutierrez can be contacted via phone (414) 461-8566.

Contact Information

Primary practice address
4031 N 110Th St Wauwatosa WI 53222-1102
Phone: (414) 461-8566
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 93226-030 Wisconsin

Profile Details

NPI number 1790744803
LBN Legal business name Lacap, Marilyn Gutierrez
Credentials REGISTERED NURSE
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790744803 NPPES
Wisconsin MEDICAID 39896700

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