NPI 1447271408
Lac Du Flambeau Band of Lake Superior Chippewa Indians
Practice location
- Address
- 129 Old Abe Rd, Lac Du Flambeau, WI 54538
- Phone
- (715) 588-3371
- Fax
- (715) 588-2039
Authorised official
- Name
- Randy Samuelson
- Title
- Administrator
- Phone
- (715) 588-3371
Registered specialties
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
Registry record
- NPI
- 1447271408
- Entity type
- Organization
- NPI issued
- 22 Jul 2006
- Record last updated
- 27 Feb 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.