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Organization
INTEGRATIVE MEDICINE LAKE COUNTRY, LLC
Active
Organization
INTEGRATIVE MEDICINE LAKE COUNTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE KAMINSKI FNP (OWNER, NURSE PRACTITIONER)
(262) 256-3020
Entity
Organization
Contact information
Practice address
138 NORTH AVE STE 4, HARTLAND, WI 53029-1725
(262) 256-3020
Mailing address
138 NORTH AVE STE 4, HARTLAND, WI 53029-1725
(262) 256-3020
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
12/04/2024
Last updated
12/04/2024
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