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Organization

LACROSSE COUNTY CARE MANAGEMENT ORGANIZATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. DARLENE MCDONNELL RN (CMO DME COORDINATOR)
(608) 789-4848
Entity
Organization

Contact information

Practice address
1407 SAINT ANDREW ST, LA CROSSE, WI 54603-3301
(608) 785-6266
Mailing address
2101 MISSISSIPPI ST, LA CROSSE, WI 54601-5074
(608) 784-4791

Taxonomy

Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
WI

Other

Enumeration date
04/13/2007
Last updated
08/22/2020
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