Individual
LESLEY KUMM-LALUZERNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1415 E GREEN BAY ST, SUITE 111, SHAWANO, WI 54166-3879
(715) 526-3791
Mailing address
1415 E GREEN BAY ST, SUITE 111, SHAWANO, WI 54166-3879
(715) 526-3791
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/10/2015
Last updated
12/10/2015
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