Lifecare Practitioners INC

NPI #1467522557 in Fond Du Lac, Wisconsin

Provider Information

NPI Number: 1467522557
Entity Type: Organization
Organization Name: Lifecare Practitioners INC
Primary Specialty: Contractor
Enumeration Date: Nov 8, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 481 E DIVISION ST
Address 2: 100
City: Fond Du Lac
State: Wisconsin
ZIP Code: 54935-3748
Phone: (920) 929-8120

Authorized Official

Name: DR. GAY D TREPANIER, MD
Title: PRESIDENT
Phone: (920) 929-8120

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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