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Ethan Lawler
Student in an Organized Health Care Education/Training Program in Lake Nebagamon, Wisconsin
NPI 1376109520

Ethan Lawler is a Student in an Organized Health Care Education/Training Program based in Lake Nebagamon, WI. Ethan Lawler practices in Lake Nebagamon, WI. The NPI Number for Ethan Lawler is 1376109520 and holds a License No. (Wisconsin).

The current practice location address for Ethan Lawler is 6883 S Lake Ave, Lake Nebagamon, WI and can be reached out via phone at 715-374-2856.

Location: 6883 S Lake Ave, Lake Nebagamon, WI, 54849-0232
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376109520
Provider Name
Ethan Lawler
Credential
Provider Entity Type
Individual
Gender
Male
Address
6883 S Lake Ave, Lake Nebagamon, WI, 54849-0232
Phone Number
715-374-2856
Fax Number
Provider Enumeration Date
05/14/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6883 S Lake Ave
City
Lake Nebagamon
State
Wisconsin
Zip
54849
Phone Number
715-374-2856
Fax Number
person
Provider Business Mailing Address Details
Address
6883 S Lake Ave
City
Lake Nebagamon
State
Wisconsin
Zip
54849
Phone Number
715-374-2856
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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