Individual
DAWN MARIE LA LUZERNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
2231 MACCAUX DR, GREEN BAY, WI 54302-4531
(773) 633-7593
Mailing address
2231 MACCAUX DR, GREEN BAY, WI 54302-4531
(773) 633-7593
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1200-154
WI
Other
Enumeration date
05/08/2008
Last updated
05/08/2008
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