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Individual

T UGANDA LAWRENCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
342 N WATER ST, SUITE 617, MILWAUKEE, WI 53202-5514
(414) 502-7212
Mailing address
342 N WATER ST, SUITE 617, MILWAUKEE, WI 53202-5514
(414) 502-7212

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary

Other

Enumeration date
04/20/2017
Last updated
04/20/2017
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