JACOB E LANZENDORF

GREEN BAY, WI
NPI1972157840
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: WI  6589-26)
Enumeration Date2019-07-30
Last Update Date2022-11-02
Business Address
JACOB E LANZENDORF OT
1970 S RIDGE RD
GREEN BAY, WI 54304-4125
Phone number: 920-430-4888
Mailing Address
JACOB E LANZENDORF OT
PO BOX 22487
GREEN BAY, WI 54305-2487
Phone number: 920-445-7210
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