Lac Courte Oreilles Governing
NPI #1891659215 in Stone Lake, Wisconsin
Provider Information
- NPI Number
- 1891659215
- Entity Type
- Organization
- Organization Name
- Lac Courte Oreilles Governing
- Primary Specialty
- Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
- Enumeration Date
- Dec 10, 2025
- Last Updated
- Dec 10, 2025
Practice Location
- Address
- 13856 W CORBINE DR
- City
- Stone Lake
- State
- Wisconsin
- ZIP Code
- 54876-4001
- Phone
- (715) 558-7939
Authorized Official
- Name
- MARY WOLF
- Title
- DIRECTOR
- Phone
- (715) 558-7939
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