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Individual

LINDSAY A HALBACH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
2637 E STATE LINE RD, BELOIT, WI 53511-9737
(608) 481-4508
Mailing address
2637 E STATE LINE RD, BELOIT, WI 53511-9737
(608) 481-4508

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
303017-031
WI

Other

Enumeration date
03/04/2010
Last updated
03/04/2010
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