Individual
ASHLEY D. LAGERQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
507 S MAIN ST, VIROQUA, WI 54665-2059
(608) 637-4769
(608) 638-5042
Mailing address
507 S MAIN ST, VIROQUA, WI 54665-2059
(608) 637-4769
(608) 638-5042
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
893
WI
Other
Enumeration date
08/21/2007
Last updated
02/05/2015
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