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Individual

LANCE P ARMSTRONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CSAC

Contact information

Practice address
25 KESSEL CT, STE 200, MADISON, WI 53711-6227
(608) 278-8200
(608) 278-8204
Mailing address
7974 UW HEALTH COURT, MIDDLETON, WI 53562-5531
(608) 829-5485

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15521
WI

Other

Enumeration date
11/02/2010
Last updated
12/07/2010
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