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Individual

TRACIE LEE LAUTENSCHLAGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN, WCC

Contact information

Practice address
1302 ELMWOOD AVE, OSHKOSH, WI 54901-2756
(920) 279-2814
Mailing address
PO BOX 2012, OSHKOSH, WI 54903-2012

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
305965
WI
164W00000X
Licensed Practical Nurse
820898
MN

Other

Enumeration date
05/23/2025
Last updated
05/23/2025
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