# LUTHERAN SOCIAL SERVICES OF WISCONSIN AND UPPER MICHIGAN, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LSS Birth To Three
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376563593
- **Authorized official:** TARA TREGLOWNE (COO)
- **Authorized official phone:** (414) 246-2300

## Contact information

- **Practice address:** 6737 W WASHINGTON ST STE 2275, MILWAUKEE, WI 53214-5666
- **Practice address phone:** (262) 443-3163
- **Mailing address:** PO BOX 1462, WAUKESHA, WI 53187-1462
- **Mailing address phone:** (262) 443-3163

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |

## Other

- **Enumeration date:** 07/20/2006
- **Last updated:** 01/06/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 41203900 | — | WI |