LAUREN KOTH

GREEN BAY, WI
NPI1225453939
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: WI  12532-24)
Enumeration Date2014-03-04
Last Update Date2020-10-06
Business Address
LAUREN KOTH
3101 PACKERLAND DR
GREEN BAY, WI 54313-6187
Phone number: 920-592-3845
Mailing Address
LAUREN KOTH
PO BOX 19070
GREEN BAY, WI 54307-9070
Phone number: 920-496-4700
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