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Individual

MR. LAWRENCE D EATON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
2820 E PARK AVE, NORTHERN WISCONSIN CTR FOR DO, CHIPPEWA FALLS, WI 54729-0340
(715) 723-5542
(715) 723-7957
Mailing address
2171 TRILLIUM DRIVE, EAU CLAIRE, WI 54701
(715) 831-9365

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
283023
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
42940300
WI
Enumeration date
05/16/2007
Last updated
07/08/2007
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