Individual
LUCKY J TOMASZEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM
Contact information
Practice address
1815 HOGEBOOM AVE, EAU CLAIRE, WI 54701-4354
(414) 975-2090
Mailing address
1815 HOGEBOOM AVE, EAU CLAIRE, WI 54701-4354
(414) 975-2090
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
245-49
WI
Other
Enumeration date
01/24/2020
Last updated
01/24/2020
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