Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ETHAN LAWLER
ActiveStudent (Health Education/Training) · LAKE NEBAGAMON, WI
Registration Details
- NPI Number
- 1376109520
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 14, 2019 (6.972250939868 yrs)
- Last Updated
- May 14, 2019
Practice Information
- Address
-
6883 S LAKE AVELAKE NEBAGAMON, WI, 54849Browse WI providers · Browse ZIP 54849
- Phone
- 7153742856
- Primary Specialty
-
Student (Health Education/Training)
390200000X
Other Student (Health Education/Training) Providers in LAKE NEBAGAMON, WI
| Name | Credential | NPI |
|---|---|---|
| ALLISON RENEE MAY | — | 1871034835 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.