Organization
LAKE AREA FREE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY REICH (EXECUTIVE DIRECTOR)
(262) 569-4990
Entity
Organization
Contact information
Practice address
856 B ARMOUR ROAD, OCONOMOWOC, WI 50366
(262) 569-4990
Mailing address
856 B ARMOUR ROAD, OCONOMOWOC, WI 50366
(262) 569-4990
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
04/21/2017
Last updated
04/21/2017
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