Organization
LAKE AREA PHYSICAL MEDICINE AND REHABILITATION, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALKA KOHLI MD (PRESIDENT)
(262) 928-2719
Entity
Organization
Contact information
Practice address
725 AMERICAN AVE, WAUKESHA, WI 53188-5031
(262) 928-2719
(262) 928-7747
Mailing address
725 AMERICAN AVE, WAUKESHA, WI 53188-5031
(262) 928-2719
(262) 928-7747
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21293100
—
WI
Enumeration date
05/31/2006
Last updated
10/07/2008
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