Organization
AURORA LAKELAND MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PHYLLIS T WILLIAMS (ADMINISTRATOR)
(262) 741-3600
Entity
Organization
Contact information
Practice address
W3930 COUNTY ROAD NN, ELKHORN, WI 53121-4335
(262) 741-3600
(262) 741-3682
Mailing address
W3930 COUNTY ROAD NN, ELKHORN, WI 53121-4335
(262) 741-3600
(262) 741-3682
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
4467-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41048400
—
WI
Enumeration date
04/17/2008
Last updated
04/17/2008
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