Individual
DR. LYLE L LAURITSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
214 SPRUCE ST, SPOONER, WI 54801
(715) 635-6969
(715) 635-6946
Mailing address
PO BOX 487, 214 SPRUCE ST, SPOONER, WI 54801
(715) 635-6969
(715) 635-6946
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1398
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38750500
—
WI
Enumeration date
10/20/2006
Last updated
07/26/2010
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