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Individual

MRS. ELIZABETH RUTH LOTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RFM, CFM

Contact information

Practice address
1108 S 17TH AVE, WAUSAU, WI 54401-5709
(715) 845-2800
(715) 845-2855
Mailing address
1108 S 17TH AVE, WAUSAU, WI 54401-5709
(715) 845-2800
(715) 845-2855

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
CFM00825
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
41782800
WI
Enumeration date
06/17/2006
Last updated
10/09/2008
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