SearchWisconsin363LP2300X

Mackenzie Prentice

NPI 1548923527 · on the registry since 2021

Practice

Address
S73w17268 Lake Dr
Muskego, WI 53150
Phone
(507) 398-6144

Registry record

Primary taxonomy
363LP2300X
363LP2300X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-11-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin