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Organization

LAKEVIEW MEDICAL CENTER, INC. OF RICE LAKE

Active
Other names
(INACTIVE)LMC Club House PT, OT
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JACQUELINE KLEIN (CFO)
(715) 236-6129
Entity
Organization

Contact information

Practice address
1100 N MAIN ST, RICE LAKE, WI 54868-1238
(715) 234-1515
(715) 234-4465
Mailing address
1100 N MAIN ST, RICE LAKE, WI 54868-1238
(715) 234-1515
(715) 234-4465

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1562800
WI
225X00000X
Occupational Therapist
235Z00000X
Speech-Language Pathologist
1562800
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
41214500
WI
Enumeration date
05/20/2008
Last updated
11/20/2024
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