| Lp - Hayward | |
|
16531 W Nursery Rd Hayward WI 54843-6100 | |
| (715) 699-8019 | |
| Not Available |
| Full Name | Lp - Hayward |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 16531 W Nursery Rd, Hayward, Wisconsin |
| Authorized Official Name and Position | Jonathan Leizman (PRESIDENT) |
| Authorized Official Contact | 2164799063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lp - Hayward 5500 Maryland Way Ste 120 Brentwood TN 37027-4993 Ph: () - | Lp - Hayward 16531 W Nursery Rd Hayward WI 54843-6100 Ph: (715) 699-8019 |
| NPI Number | 1942968953 |
|---|---|
| Provider Enumeration Date | 12/07/2021 |
| Last Update Date | 10/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942968953 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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