SHANNON LAZCANO

MILWAUKEE, WI
NPI1831461250
Former NameSHANNON ROPEL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WI  954-19)
Enumeration Date2012-01-31
Last Update Date2012-01-31
Business Address
Mrs. SHANNON LAZCANO PTA
7517 W COLDSPRING RD
MILWAUKEE, WI 53220-2814
Phone number: 414-327-6603
Mailing Address
Mrs. SHANNON LAZCANO PTA
641 S 67TH ST
MILWAUKEE, WI 53214-1747
Phone number: 414-322-5564
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