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1447739032
KELSEY R LAUTERBACH
SHEBOYGAN, WI
NPI
1447739032
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 4851-23)
Enumeration Date
2018-08-14
Last Update Date
2021-12-15
Business Address
KELSEY R LAUTERBACH PA-C
3113 SAEMANN AVE
SHEBOYGAN, WI 53081-1957
Phone number: 920-496-4700
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Mailing Address
KELSEY R LAUTERBACH PA-C
N3094 BATES RD
CASCADE, WI 53011-1314
Phone number: 715-966-5609
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