Lalich, Roger A

Lalich, Roger A is an individual health care provider with primary practice located at 721 American Ave Suite 304, Waukesha WI 53188-5071. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Lalich, Roger A can be contacted via phone (262) 549-2229.

Contact Information

Primary practice address
721 American Ave Suite 304 Waukesha WI 53188-5071
Fax: (262) 549-1657
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 21566 Wisconsin

Profile Details

NPI number 1326038811
LBN Legal business name Lalich, Roger A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated Aug 17th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326038811 NPPES
Wisconsin MEDICAID 30010700

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