Individual
MRS. REBECCA LYNN LANDGRAF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCCA
Contact information
Practice address
4448 W LOOMIS RD, GREENFIELD, WI 53220-4800
(414) 281-5150
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
381156
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41155300
—
WI
Enumeration date
06/10/2008
Last updated
07/18/2024
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