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Laquitta Bogan

NPI 1770359184 · on the registry since 2023 · sole proprietor

Practice

Address
3160 N 46th St
Milwaukee, WI 53216
Phone
(414) 218-0952

Registry record

Primary taxonomy
385HR2060X
385HR2060X
Also registered as
376K00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-11-27

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