Individual
LAURA CHRISTINE GILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
4601 N OAKLAND AVE, SHOREWOOD, WI 53211-1232
(866) 855-5365
Mailing address
4003 N MURRAY AVE # 1, SHOREWOOD, WI 53211-2351
(414) 331-7573
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
883-55
WI
Other
Enumeration date
01/16/2016
Last updated
02/29/2016
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