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Ethan Lawler

NPI 1376109520 · on the registry since 2019

Practice

Address
6883 S Lake Ave
Lake Nebagamon, WI 54849
Phone
(715) 374-2856

Registry record

Primary taxonomy
390200000X
390200000X
Sex
Male
Record last updated
2019-05-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin