| Lt Resources | |
|
103 S Water St Suite 6 Sparta WI 54656-1773 | |
| (608) 366-1675 | |
| (608) 269-1692 |
| Full Name | Lt Resources |
|---|---|
| Speciality | Social Worker |
| Location | 103 S Water St, Sparta, Wisconsin |
| Authorized Official Name and Position | Lynn Truog (OWNER) |
| Authorized Official Contact | 6083661675 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lt Resources 103 S Water St Suite 6 Sparta WI 54656-1773 Ph: (608) 366-1675 | Lt Resources 103 S Water St Suite 6 Sparta WI 54656-1773 Ph: (608) 366-1675 |
| NPI Number | 1629223979 |
|---|---|
| Provider Enumeration Date | 11/28/2008 |
| Last Update Date | 11/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629223979 | NPI | - | NPPES |
| 42254300 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | 3117125 (Wisconsin) | Primary |
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