Individual
ANGELA LAMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1537 PARK PL STE 200, GREEN BAY, WI 54304-1974
(920) 498-8650
(920) 498-0945
Mailing address
1537 PARK PL STE 200, GREEN BAY, WI 54304-1974
(920) 498-8650
(920) 498-0945
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1495 023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1495-023
WIS LICENSE
WI
Enumeration date
07/26/2005
Last updated
03/07/2023
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