# LKW HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lynn K Wagner, MD Integrative Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710512819
- **Authorized official:** KASI STANKEVICH (CLINIC MANAGER)
- **Authorized official phone:** (920) 632-7158

## Contact information

- **Practice address:** 106 N WISCONSIN ST, DE PERE, WI 54115-2733
- **Practice address phone:** (920) 327-7056
- **Practice address fax:** (920) 425-4955
- **Mailing address:** 106 N WISCONSIN ST, DE PERE, WI 54115-2733
- **Mailing address phone:** (920) 327-7056
- **Mailing address fax:** (920) 425-4955

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/09/2020
- **Last updated:** 03/09/2020