Individual provider · Type 1 NPI
Laura Erbentraut
Driver · Kenosha, WI
NPI number
1710378237
Active
Practice location
3410 18th St
Kenosha, WI 53144-1402
Fax (262) 347-3603
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | WI-560790 (WI) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
Another provider at this address
Other driver providers in Kenosha
About NPI 1710378237
Laura Erbentraut's National Provider Identifier is 1710378237, issued on Feb 6, 2015. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Kenosha, WI. The record was last updated on Feb 6, 2015.