KRISTIN M LAVENHAGEN

OAK CREEK, WI
NPI1154635860
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WI  2636-23)
Enumeration Date2010-08-05
Last Update Date2012-09-28
Business Address
-- KRISTIN M LAVENHAGEN PA-C
331 E PUETZ RD LAKESHORE MEDICAL CLINIC
OAK CREEK, WI 53154-3253
Phone number: 414-570-3590
Mailing Address
-- KRISTIN M LAVENHAGEN PA-C
100 15TH AVENUE LAKESHORE MEDICAL CLINIC
SOUTH MILWAUKEE, WI 53172-1160
Phone number: 414-768-5430