Laura Erbentraut

NPI 1710378237 - Driver - 172A00000X

NPI Details
NPI 1710378237
Gender Female
Enumeration Date 02/06/2015
Last Updated 02/06/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
3410 18TH ST
KENOSHA WI, 53144-1402, US
Phone (262) 671-1759
Fax (262) 347-3603
Business Location
3410 18TH ST
KENOSHA WI, 53144-1402, US
Phone (262) 671-1759
Fax (262) 347-3603
Toxanomy
Taxonomy Code 172A00000X
License State Wisconsin
License Number WI-560790
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According to our database, Laura Erbentraut NPI is 1710378237, taxonomy code is 172A00000X and license number is WI-560790, license state is located at Wisconsin. Laura Erbentraut physically located at 3410 18th St, Kenosha WI, 53144-1402. NPI Number Laura Erbentraut has the Individual type.

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1710378237 NPI number is provided on an as is basis without warranty of any kind. 1710378237 is maintained by the National Plan & Provider Enumeration System. The contents of Laura Erbentraut are for informational purposes only.