Individual
DR. ZARA LITTLE WING LACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C., D.I.C.C.P.
Contact information
Practice address
2003 ROBIN LN, WAUSAU, WI 54401-7158
(715) 845-3775
(715) 848-9015
Mailing address
2003 ROBIN LN, WAUSAU, WI 54401-7158
(715) 845-3775
(715) 848-9015
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
3393-012
WI
111NP0017X
Pediatric Chiropractor
Primary
3393-012
WI
Other
Enumeration date
11/13/2009
Last updated
11/13/2009
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