Individual
MR. LANCE W WELDGEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
W3740 S LAKESHORE DR, LAKE GENEVA, WI 53147-3962
(262) 394-1519
Mailing address
W3740 S LAKESHORE DR, LAKE GENEVA, WI 53147-3962
(262) 394-1519
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
134689-121
WI
1041C0700X
Clinical Social Worker
134689-121
WI
Other
Enumeration date
05/30/2024
Last updated
12/01/2025
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