Individual
ELIZABETH MARIE LOCONTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3524 E MILWAUKEE ST, JANESVILLE, WI 53546-1626
(608) 756-7100
(608) 756-4700
Mailing address
3524 E MILWAUKEE ST, JANESVILLE, WI 53546-1626
(608) 756-7100
(608) 756-4700
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
62938-21
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699017178
—
WI
Enumeration date
03/21/2013
Last updated
07/19/2016
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