Organization
EYE CLINIC OF RACINE, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURA L LEMKE (ADMINISTRATOR)
(262) 637-9615
Entity
Organization
Contact information
Practice address
3805A SPRING ST, SUITE 111, MOUNT PLEASANT, WI 53405-1600
(262) 637-9615
(262) 637-4437
Mailing address
3805A SPRING ST, SUITE 111, MOUNT PLEASANT, WI 53405-1600
(262) 637-9615
(262) 637-4437
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32878900
—
WI
Enumeration date
01/31/2006
Last updated
07/24/2015
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