Individual
AMY PETERS LALIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-A
Contact information
Practice address
10243 W NATIONAL AVE, WEST ALLIS, WI 53227-2028
(414) 604-7204
Mailing address
1704 S PRAIRIE AVE, WAUKESHA, WI 53189-7383
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
480-156
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41151700
—
WI
Enumeration date
05/25/2007
Last updated
07/09/2007
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