Individual
DR. LAWRENCE A. OMOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 WEST AVENUE S., LA CROSSE, WI 54601-4783
(608) 785-0940
Mailing address
PO BOX 1510, EAU CLAIRE, WI 54702-1510
(608) 785-0940
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
56607
WI
207R00000X
Internal Medicine Physician
MD437570
PA
Other
Enumeration date
05/04/2007
Last updated
01/29/2024
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