LAWRENCE C SANDBERG

KENOSHA, WI
NPI1922145648
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy282N00000X General Acute Care Hospital
(Licence: WI  2065-024)
Enumeration Date2007-01-31
Last Update Date2007-07-08
Business Address
-- LAWRENCE C SANDBERG PT
6308 8TH AVE
KENOSHA, WI 53143-5031
Phone number: 262-656-3290
Mailing Address
-- LAWRENCE C SANDBERG PT
2123 RAMADA DR
RACINE, WI 53406-2220
Phone number: 262-886-0463
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