Chp-Lts, Inc.

NPI #1902060031 in Eau Claire, Wisconsin

Provider Information

NPI Number
1902060031
Entity Type
Organization
Organization Name
Chp-Lts, Inc.
Primary Specialty
Exclusive Provider Organization
Enumeration Date
Jul 17, 2008
Last Updated
Jul 17, 2008

Practice Location

Address
2240 EASTRIDGE CTR
ZIP Code
54701-3410
Phone
(715) 838-2900

Authorized Official

Name
KAREN A BULLOCK
Title
CEO
Phone
(715) 838-2901

Specialties & Taxonomy Codes

Specialty
Exclusive Provider Organization

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