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Individual

MS. LORI L. WEBSTER-DAHL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
610 MCEVOY ST, MAUSTON, WI 53948-1438
(608) 548-5215
Mailing address
N8560 8TH AVE, NEW LISBON, WI 53950-9185
(608) 548-5212

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4953-024
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40457700
WI
Enumeration date
01/17/2007
Last updated
04/07/2009
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