Organization
LUTHERAN SOCIAL SERVICES OF WISCONSIN AND UPPER MICHIGAN, INC
Active
Other names
LSS Birth To Three
Organization subpart
No
Provider details
NPI number
Authorized official
TARA TREGLOWNE (COO)
(414) 246-2300
Entity
Organization
Contact information
Practice address
6737 W WASHINGTON ST STE 2275, MILWAUKEE, WI 53214-5666
(262) 443-3163
Mailing address
PO BOX 1462, WAUKESHA, WI 53187-1462
(262) 443-3163
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41203900
—
WI
Enumeration date
07/20/2006
Last updated
01/06/2025
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