Lac Courte Oreilles Governing
Lac Courte Oreilles Governing is a PACE Provider Organization in Stone Lake, Wisconsin. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
13856 W Corbine DrStone Lake, WI 54876-4001
Phone: (715) 558-7939
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| PACE Provider Organization (primary) | Taxonomy 251T00000X |
|---|
Record details
| NPI number | 1891659215 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mary Wolf — Director · (715) 558-7939 |
| NPI enumerated | December 10, 2025 |
| Last updated in NPPES | December 10, 2025 |
| Certification date | December 10, 2025 |
| Mailing address | 13856 W Corbine Dr, Stone Lake, WI 54876-4001 |