Individual
LAWRENCE ADAM GOTTLIEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
216 S MILITARY AVE, GREEN BAY, WI 54303-2412
(920) 499-0895
Mailing address
216 S MILITARY AVE, GREEN BAY, WI 54303-2412
(920) 499-0895
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15695-40
WI
Other
Enumeration date
11/07/2013
Last updated
11/07/2013
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