Individual
DR. LAEEKHA A ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
707 S UNIVERSITY AVE, BEAVER DAM, WI 53916-3027
(920) 887-7181
(920) 887-6833
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
28738
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32510400
—
WI
Enumeration date
01/23/2006
Last updated
05/11/2023
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