| Lane Thomas Laclair, DPT, CSCS, NSCA-CPT | |
|
1201 Main St, Union Grove, WI 53182-1303 | |
| (262) 878-9602 | |
| (262) 878-9609 |
| Full Name | Lane Thomas Laclair |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1201 Main St, Union Grove, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174576706 | NPI | - | NPPES |
| 40384500 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 9917024 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lane Thomas Laclair, DPT, CSCS, NSCA-CPT 1201 Main St, Union Grove, WI 53182-1303 Ph: (262) 878-9602 | Lane Thomas Laclair, DPT, CSCS, NSCA-CPT 1201 Main St, Union Grove, WI 53182-1303 Ph: (262) 878-9602 |
Katherine H Pettis, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1201 Main St, Union Grove, WI 53182 Phone: 262-878-9602 | |
Colleen Skott, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 20816 Durand Ave, Union Grove, WI 53182 Phone: 763-689-5385 | |
Anthony R Matoska, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1201 Main St, Union Grove, WI 53182 Phone: 262-878-9602 Fax: 262-878-9609 | |
Mrs. Shannon S. Arrieta, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1201 Main St, Union Grove, WI 53182 Phone: 262-878-9602 Fax: 262-878-9609 | |
Heather S. Huebner, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1201 Main St, Union Grove, WI 53182 Phone: 262-878-9602 Fax: 262-878-9609 | |
Kevin M Huckstorf, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1201 Main St, Union Grove, WI 53182 Phone: 262-878-9602 Fax: 262-878-9609 |