Organization
ETHAN E. LAWLER, D.D.S., S.C.
Active
Parent organization
ETHAN E. LAWLER
Other names
Lawler Family Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
ETHAN E. LAWLER
Authorized official
MRS. SUEANE CHRISTINE NOVACK (OFFICE MANAGER)
(715) 374-2856
Entity
Organization
Contact information
Practice address
6881 SOUTH LAKE AVENUE, LAKE NEBAGAMON, WI 54849-9264
(715) 374-2856
(715) 374-2299
Mailing address
PO BOX 520, LAKE NEBAGAMON, WI 54849-0520
(715) 374-2856
(715) 374-2299
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/13/2019
Last updated
06/04/2024
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