Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Raegan Rene Tervort

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1548703473

Raegan Rene Tervort is a Student in an Organized Health Care Education/Training Program in LA Crosse, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2016.

Licensed in
WI
In the registry since
2016
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Practice location Address checks out

1725 State St
LA Crosse, WI 54601-3742
Phone: (608) 785-8000
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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 (WI)

Record details

NPI number1548703473
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 26, 2016
Last updated in NPPESNovember 26, 2016

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