# CUBIC LIFE INTEGRATIVE CARE S.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851816862
- **Authorized official:** DR. KESHNI LATA RAMNANAN MD (OWNER)
- **Authorized official phone:** (414) 215-9955

## Contact information

- **Practice address:** 325 FOREST GROVE DR STE 200, PEWAUKEE, WI 53072-3894
- **Practice address phone:** (414) 375-2800
- **Mailing address:** 325 FOREST GROVE DR STE 200, PEWAUKEE, WI 53072-3894

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 54487-20 | WI | Yes |

## Other

- **Enumeration date:** 08/10/2017
- **Last updated:** 08/10/2017