Organization
LG HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERSON STANLEY (DIRECTOR)
(608) 213-4977
Entity
Organization
Contact information
Practice address
811 E WASHINGTON AVE STE 400, MADISON, WI 53703-4028
(608) 213-4977
Mailing address
811 E WASHINGTON AVE STE 400, MADISON, WI 53703-4028
(608) 213-4977
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
11/07/2022
Last updated
12/19/2023
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