Wolf, Laurie Lee
Wolf, Laurie Lee is an individual health care provider with primary practice located at 510 N 17Th Ave Suite A1, Wausau WI 54401-4200. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Wolf, Laurie Lee can be contacted via phone (715) 298-5783.Contact Information
Primary practice address
510 N 17Th Ave Suite A1
Wausau WI 54401-4200
Phone: (715) 298-5783
Fax: (715) 298-5784
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 30639 | Wisconsin |
Profile Details
| NPI number | 1174524615 |
|---|---|
| LBN Legal business name | Wolf, Laurie Lee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2005 |
| Last updated | Nov 21st, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174524615 | NPPES |
| Wisconsin | MEDICAID | 31530200 |
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