Organization
LKW HEALTH LLC
Active
Other names
Lynn K Wagner, MD Integrative Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
KASI STANKEVICH (CLINIC MANAGER)
(920) 632-7158
Entity
Organization
Contact information
Practice address
106 N WISCONSIN ST, DE PERE, WI 54115-2733
(920) 327-7056
(920) 425-4955
Mailing address
106 N WISCONSIN ST, DE PERE, WI 54115-2733
(920) 327-7056
(920) 425-4955
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
03/09/2020
Last updated
03/09/2020
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