LANCE KONG

MILWAUKEE, WI
NPI1942793245
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367H00000X Anesthesiologist Assistant
(Licence: WI  117)
Enumeration Date2018-06-11
Last Update Date2024-08-19
Business Address
Mr. LANCE KONG AA
2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
Phone number: 414-649-6000
Mailing Address
Mr. LANCE KONG AA
PO BOX 735044
CHICAGO, IL 60673-5044
Phone number: 800-326-2250
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