Organization
LACROSSE CBOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA MAYERICK (DIRECTOR, BUSINESS DEVELOPMENT)
(202) 254-0339
Entity
Organization
Contact information
Practice address
2600 STATE RD, LA CROSSE, WI 54601-6157
(608) 784-3886
Mailing address
2600 STATE RD, LA CROSSE, WI 54601-6157
(608) 784-3886
Taxonomy
Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary
—
—
Other
Enumeration date
03/09/2007
Last updated
08/22/2020
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