Individual
DEBRA LAFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1053 E GREEN BAY ST, SHAWANO, WI 54166-2203
(715) 524-2857
(715) 526-8041
Mailing address
1024 FOREST GRV, GREEN BAY, WI 54313-7025
(715) 524-2857
(715) 526-8041
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
1456-60
WI
Other
Enumeration date
01/25/2017
Last updated
01/25/2017
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