R. Lawrence Deroo MS

NPI 1649335993 - Social Worker - 1041C0700X

NPI Details
NPI 1649335993
Gender Male
Enumeration Date 12/27/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
700 RAY O VAC DR
SUITE 220
MADISON WI, 53711-2479, US
Phone (608) 276-9191
Fax (608) 276-9144
Business Location
700 RAY O VAC DR
SUITE 220
MADISON WI, 53711-2479, US
Phone (608) 276-9191
Fax (608) 276-9144
Toxanomy
Taxonomy Code 1041C0700X
License State Wisconsin
License Number 2210-123
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According to our database, R. Lawrence Deroo MS NPI is 1649335993, taxonomy code is 1041C0700X and license number is 2210-123, license state is located at Wisconsin. R. Lawrence Deroo MS physically located at 700 Ray O Vac Dr, Madison WI, 53711-2479. NPI Number R. Lawrence Deroo MS has the Individual type.

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1649335993 NPI number is provided on an as is basis without warranty of any kind. 1649335993 is maintained by the National Plan & Provider Enumeration System. The contents of R. Lawrence Deroo MS are for informational purposes only.