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Laura Erbentraut
Driver in Kenosha, Wisconsin
NPI 1710378237

Laura Erbentraut is a Driver based in Kenosha, WI. Laura Erbentraut practices in Kenosha, WI. The NPI Number for Laura Erbentraut is 1710378237 and holds a License No. WI-560790 (Wisconsin).

The current practice location address for Laura Erbentraut is 3410 18Th St, Kenosha, WI and can be reached out via phone at 262-671-1759 and via fax at 262-347-3603.

Location: 3410 18Th St, Kenosha, WI, 53144-1402
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710378237
Provider Name
Laura Erbentraut
Credential
Provider Entity Type
Individual
Gender
Female
Address
3410 18Th St, Kenosha, WI, 53144-1402
Phone Number
262-671-1759
Fax Number
262-347-3603
Provider Enumeration Date
02/06/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3410 18Th St
City
Kenosha
State
Wisconsin
Zip
53144-1402
Phone Number
262-671-1759
Fax Number
262-347-3603
person
Provider Business Mailing Address Details
Address
3410 18Th St
City
Kenosha
State
Wisconsin
Zip
53144-1402
Phone Number
262-671-1759
Fax Number
262-347-3603
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
WI-560790 (Wisconsin)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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