Lane Thomas Laclair in Union Grove - Physical Therapist
Lane Thomas Laclair - NPI 1174576706
Lane Thomas Laclair is a Physical Therapist in Union Grove, Wisconsin. Lane Thomas Laclair practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Lane Thomas Laclair is 1174576706. The last update date is 2015-12-19.
Lane Thomas Laclair's current location address is 1201 Main St, Union Grove, Wisconsin. You can contact this provider via phone number 2628789602 and fax number 2628789609. The mailing address for Lane Thomas Laclair is 1201 Main St, Union Grove, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lane Thomas Laclair |
|---|---|
| Address | 1201 Main St, Union Grove, Wisconsin |
| Phone Number | 2628789602 |
| Fax Number | 2628789609 |
| Sole Proprietor | N |
| Credentials | DPT, CSCS, |
NPI Number Detail
| NPI Number | 1174576706 |
|---|---|
| Provider Enumeration Date | 2006-05-17 |
| Last Updated Date | 2015-12-19 |
Provider Mailing Address Detail
| Address | 1201 Main St |
|---|---|
| City | Union Grove |
| State | Wisconsin (WI) |
| Post Code | 531821303 |
| Phone Number | 2628789602 |
| Fax Number | 2628789609 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 9917024 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 40384500 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Lane Thomas Laclair by the Centers for Medicare & Medicaid Services?
The Lane Thomas Laclair has been assigned the NPI (National Provider Identifier) 1174576706 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Lane Thomas Laclair is physically located?
The Lane Thomas Laclair is physically situated at the following address: 1201 Main St, Union Grove, WI, 531821303.
What is the Lane Thomas Laclair's specialty and taxonomy code?
The Lane Thomas Laclair's specialty is Physical Therapist, and the corresponding taxonomy code is 225100000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1174576706 to Lane Thomas Laclair?
The Centers for Medicare & Medicaid Services assigned the 1174576706 to Lane Thomas Laclair on 2006-05-17.
When was the information related to Lane Thomas Laclair most recently updated or refreshed?
The details pertaining to the Lane Thomas Laclair, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-12-19.