Provider Demographics
NPI:1730214636
Name:DAMPEER, LAQUITTA M (LPN)
Entity type:Individual
Prefix:
First Name:LAQUITTA
Middle Name:M
Last Name:DAMPEER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7210 W GREENFIELD AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:WEST ALLIS
Mailing Address - State:WI
Mailing Address - Zip Code:53214-4742
Mailing Address - Country:US
Mailing Address - Phone:414-753-7020
Mailing Address - Fax:414-375-7767
Practice Address - Street 1:7210 W GREENFIELD AVE STE 3
Practice Address - Street 2:
Practice Address - City:WEST ALLIS
Practice Address - State:WI
Practice Address - Zip Code:53214-4742
Practice Address - Country:US
Practice Address - Phone:414-753-7020
Practice Address - Fax:414-375-7767
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-22
Last Update Date:2025-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI305190164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse