Provider Demographics
NPI:1528794435
Name:GERACI, GAIL LAVOIE (DNP)
Entity type:Individual
Prefix:DR
First Name:GAIL
Middle Name:LAVOIE
Last Name:GERACI
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
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Mailing Address - Street 1:335 E MAHN CT
Mailing Address - Street 2:
Mailing Address - City:OAK CREEK
Mailing Address - State:WI
Mailing Address - Zip Code:53154-2155
Mailing Address - Country:US
Mailing Address - Phone:414-762-2020
Mailing Address - Fax:414-762-2024
Practice Address - Street 1:3120 S 27TH ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53215-4338
Practice Address - Country:US
Practice Address - Phone:414-672-8284
Practice Address - Fax:414-672-8284
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-25
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI13128363L00000X
WI231873163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner