Individual
DOUGLAS TODD LALUZERNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3263 EATON RD, GREEN BAY, WI 54311
(920) 433-6700
(920) 433-6719
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7226
(920) 445-7229
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14031-24
WI
Other
Enumeration date
04/09/2008
Last updated
04/20/2020
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