Whalio Doctors

NPI 1831533470

Lifestriders, INC.

Organisation Voluntary or Charitable Agency Waukesha, WI

Practice location

Address
S11w29667 Summit Ave, Waukesha, WI 53188-9476
Phone
(262) 565-6124

Authorised official

Name
Veronica Sosa
Title
Executive Director/ Psychologist
Phone
(262) 309-9297

Registered specialties

Voluntary or Charitable Agency Primary
Agencies Taxonomy 251V00000X Licence 12430-800 (WI)

Registry record

NPI
1831533470
Entity type
Organization
NPI issued
25 Apr 2013
Record last updated
25 Apr 2013

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.