Individual provider · Type 1 NPI
Ethan Lawler
Student in an Organized Health Care Education/Training Program · Lake Nebagamon, WI
NPI number
1376109520
Active
Practice location
6883 S Lake Ave
Lake Nebagamon, WI 54849
Mailing address
PO Box 232
Lake Nebagamon, WI 54849-0232
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Other student in an organized health care education/training program providers in Lake Nebagamon
About NPI 1376109520
Ethan Lawler's National Provider Identifier is 1376109520, issued on May 14, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lake Nebagamon, WI. The record was last updated on May 14, 2019.