Lauzon, Jeffrey J
Lauzon, Jeffrey J is an individual health care provider with primary practice located at 1220 Dewey Ave Lorton Ii, Wauwatosa WI 53213-2504. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Health, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Lauzon, Jeffrey J can be contacted via phone (414) 454-6500.Contact Information
Primary practice address
1220 Dewey Ave Lorton Ii
Wauwatosa WI 53213-2504
Phone: (414) 454-6500
Fax: (414) 454-6527
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 3600-125 | Wisconsin |
Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 178-002408 | Illinois |
Behavioral Health & Social Service Providers / Health | 103TH0004X | 2718 | Wisconsin |
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 2718-057 | Wisconsin |
Profile Details
NPI number | 1114034667 |
---|---|
LBN Legal business name | Lauzon, Jeffrey J |
Credentials | PHD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 23rd, 2006 |
Last updated | Nov 19th, 2021 - about 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1114034667 | NPPES |
Wisconsin | MEDICAID | 40998500 |
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