JAMES T LEWALLEN

MADISON, WI
NPI1649298597
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy222Z00000X Orthotist
(Licence: WI  CO 003346)
Enumeration Date2006-07-18
Last Update Date2007-07-08
Business Address
-- JAMES T LEWALLEN
600 HIGHLAND AVE COMPLIANCE MAIL CODE-2433
MADISON, WI 53792-0001
Phone number: 608-662-0817
Mailing Address
-- JAMES T LEWALLEN
600 HIGHLAND AVE COMPLIANCE MAIL CODE-2433
MADISON, WI 53792-0001
Phone number: