Individual
JAKE LEBRECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
116 W WASHINGTON AVE, MADISON, WI 53703-2740
(608) 416-0171
Mailing address
6737 W WASHINGTON ST STE 2275, WEST ALLIS, WI 53214-5666
(262) 896-3446
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/03/2023
Last updated
11/07/2023
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