Individual provider · Type 1 NPI

Ida Lee Roach, LPN

Licensed Practical Nurse · Milwaukee, WI

NPI number 1851543789 Active

Practice location

5319 N 48th St
Milwaukee, WI 53218-3432

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X309438-031 (WI)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1851543789

Ida Lee Roach, LPN's National Provider Identifier is 1851543789, issued on Oct 22, 2008. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Milwaukee, WI. The record was last updated on Oct 23, 2008.