Advanced Lipidology, S.c.

NPI #1407016686 in Delafield, Wisconsin

Provider Information

NPI Number: 1407016686
Entity Type: Organization
Organization Name: Advanced Lipidology, S.c.
Primary Specialty: Family Medicine
Enumeration Date: Jun 11, 2008
Last Updated: Jun 11, 2008

Practice Location

Address: 524 MILWAUKEE ST
Address 2: SUITE 180
City: Delafield
State: Wisconsin
ZIP Code: 53018-1460
Phone: (262) 646-3223

Authorized Official

Name: DR. TARA DALL, M.D.
Title: OWNER
Phone: (262) 646-3223

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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