TIMOTHY JASON LEMOINE

LA CROSSE, WI
NPI1093394777
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-04-07
Last Update Date2021-04-07
Business Address
TIMOTHY JASON LEMOINE
1836 SOUTH AVE
LA CROSSE, WI 54601-5429
Phone number: 608-782-7300
Mailing Address
TIMOTHY JASON LEMOINE
1836 SOUTH AVE
LA CROSSE, WI 54601-5429
Phone number: 608-782-7300