NPI | 1982813390 |
---|---|
Doing Business As | LAC COURTE OREILLES COMMUNITY HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | LYLE ANTHONY IGNACE CEO 414-383-9526 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2007-05-22 |
Last Update Date | 2025-09-02 |