SearchWisconsin172A00000X

Laura Erbentraut

NPI 1710378237 · on the registry since 2015

Practice

Address
3410 18th St
Kenosha, WI 53144
Phone
(262) 671-1759
Fax
(262) 347-3603
Organisation at this address
Safe Transport Inc.
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
172A00000X
172A00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-02-06

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