DR. Mary Grace Hernandez Lasquety, M.D.

NPI #1003059353 in Milwaukee, Wisconsin

Provider Information

NPI Number: 1003059353
Entity Type: Individual
Name: DR. Mary Grace Hernandez Lasquety, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Apr 16, 2009
Last Updated: Aug 20, 2015

Practice Location

Address: 2311 N PROSPECT AVE
City: Milwaukee
State: Wisconsin
ZIP Code: 53211-4445
Phone: (414) 319-3000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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