Ethan Lawler
Ethan Lawler is a Student in an Organized Health Care Education/Training Program in Lake Nebagamon, Wisconsin. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
6883 S Lake AveLake Nebagamon, WI 54849
Phone: (715) 374-2856
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
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Record details
| NPI number | 1376109520 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 14, 2019 |
| Last updated in NPPES | May 14, 2019 |
| Mailing address | Po Box 232, Lake Nebagamon, WI 54849-0232 |