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NPI Code Detail

MEDICARE: DR. LOVLEEN SIDHU

MEDICARE:  DR. LOVLEEN  SIDHU
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry6001229-15WI

General Provider Information

NPI Number : 1750068961
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LOVLEEN SIDHU
Provider Business Mailing Address
First Line : 1437 N JEFFERSON ST APT 111
Second Line :
City : MILWAUKEE
State : WI
Zip : 53202-2995
Country : US
Telephone Number : 516-737-6738
Fax Number :
Provider Business Practice Location Address
First Line : 1437 N JEFFERSON ST APT 111
Second Line :
City : MILWAUKEE
State : WI
Zip : 53202-2995
Country : US
Telephone Number : 516-737-6738
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2023
Last Update Date : 06/29/2023

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Directions to “ DR. LOVLEEN SIDHU ” Practice Location

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