Human Development Associates Of Lacrosse Llc

NPI 1487790044 - Clinic/Center - 261QM0801X

NPI Details
NPI 1487790044
Enumeration Date 01/30/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MARTIN MARTIN
Position CORPORATION MEMBER
Phone (608) 784-8688
Fax (608) 784-8684
Practice Location
2920 EAST AVE S
SUITE 101
LACROSSE WI, 54601-8282, US
Phone (608) 784-8688
Fax (608) 784-8684
Business Location
2920 EAST AVE S
SUITE 101
LACROSSE WI, 54601-8282, US
Phone (608) 784-8688
Fax (608) 784-8684
Toxanomy
Taxonomy Code 261QM0801X
License State Wisconsin
License Number 1425
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According to our database, Human Development Associates Of Lacrosse Llc NPI is 1487790044, taxonomy code is 261QM0801X and license number is 1425, license state is located at Wisconsin. Human Development Associates Of Lacrosse Llc physically located at 2920 East Ave S, Lacrosse WI, 54601-8282. NPI Number 1033115704 has the healthcare provider type.

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1487790044 NPI number is provided on an as is basis without warranty of any kind. 1487790044 is maintained by the National Plan & Provider Enumeration System. The contents of Human Development Associates Of Lacrosse Llc are for informational purposes only.