Organization
LICE CLINICS OF AMERICA CENTRAL WI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE MOYER (OWNER/OPERATOR)
(715) 570-4887
Entity
Organization
Contact information
Practice address
2819 POST RD, STEVENS POINT, WI 54481-6416
(715) 570-4887
Mailing address
2819 POST RD, STEVENS POINT, WI 54481-6416
(715) 570-4887
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
05/02/2017
Last updated
05/02/2017
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