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1700533957
KELLY LAWSON
WAUWATOSA, WI
NPI
1700533957
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 7037-23)
Enumeration Date
2022-03-08
Last Update Date
2023-03-14
Business Address
KELLY LAWSON
10625 W NORTH AVE STE 101B
WAUWATOSA, WI 53226-2315
Phone number: 414-727-9183
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Mailing Address
KELLY LAWSON
10625 W NORTH AVE STE 101B
WAUWATOSA, WI 53226-2315
Phone number:
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