ALLEXA LICON

MADISON, WI
NPI1124480405
Former NameALLEXA HAMMOND
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: WI  77126-20)
Enumeration Date2016-03-24
Last Update Date2024-09-05
Business Address
ALLEXA LICON
2601 W BELTLINE HWY STE 200
MADISON, WI 53713-2319
Phone number: 082-872-4346
Mailing Address
ALLEXA LICON
7974 UW HEALTH CT
MIDDLETON, WI 53562-5531
Phone number:
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