Ka Lia Vang, RD | |
W3985 Country Road Nn, Elkhorn, WI 53121 | |
(262) 741-2102 | |
Not Available |
Full Name | Ka Lia Vang |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | W3985 Country Road Nn, Elkhorn, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1598480527 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | 5018-29 (Wisconsin) | Primary |
Provider Name | Aurora Medical Group, Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
Provider Name | Baycare Aurora Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1255387726 PECOS PAC ID: 0244130557 Enrollment ID: O20051012000579 |
Mailing Address | Practice Location Address |
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Ka Lia Vang, RD 2012 S East Ave Apt 19, Waukesha, WI 53189-2151 Ph: () - | Ka Lia Vang, RD W3985 Country Road Nn, Elkhorn, WI 53121 Ph: (262) 741-2102 |
Ashley Kate Stephens, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: W3985 County Road Nn, Elkhorn, WI 53121 Phone: 262-741-2102 | |
Mrs. Samantha Rosemary Schleiger, MS, RD, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: W3022 Weaver Rd, Elkhorn, WI 53121 Phone: 262-374-1145 | |
Kayla Vanbergen, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: W3985 County Road Nn, Elkhorn, WI 53121 Phone: 262-741-2145 | |
Jacqueline Mary Sullivan, Dietitian Medicare: Not Enrolled in Medicare Practice Location: W3985 County Road Nn, Elkhorn, WI 53121 Phone: 262-741-2145 Fax: 262-741-2559 | |
Miss Alexandra Sharapova, MS, RD, CSO, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: W3985 County Road Nn, Elkhorn, WI 53121 Phone: 262-241-2102 | |
Mr. Daniel J Clausen, RD, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1910 County Road Nn, Elkhorn, WI 53121 Phone: 262-741-3147 Fax: 262-741-3757 |