Individual
ELIZABETH LACY RAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1100 BERGSLIEN ST, BALDWIN, WI 54002-2600
(715) 684-1111
Mailing address
1021 EULAINE CIR, HAMMOND, WI 54015-5040
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11603
MN
225100000X
Physical Therapist
Primary
16161-24
WI
Other
Enumeration date
01/25/2023
Last updated
06/30/2023
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