Active NPI
Lifesprings for Health
- Emergency Medicine Physician
- La Crosse, WI
National Provider Identifier
1528379047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- LIFESPRINGS FOR HEALTH
- Practice address
- 3454 Losey Blvd S
La Crosse, WI 54601-7217 - Phone
- (608) 785-0038
- NPI assigned
- Jun 30, 2010
- Last updated
- Jun 30, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Abel Rodriguez
- Title
- Manager
- Phone
- (608) 788-8103
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | NU | Primary |
Addresses
Primary practice location
3454 Losey Blvd S
La Crosse, WI 54601-7217
Mailing address
3454 Losey Blvd S.
La Crosse, WI 54601-7217
Phone (608) 785-0038
National Provider Directory
National Provider DirectoryLocations
3454 Losey Blvd S
La Crosse, WI 54601
Phone (608) 785-0038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277856000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1277856000000",
"number": "1528379047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3454 LOSEY BLVD S.",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546017217",
"telephone_number": "608-785-0038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3454 LOSEY BLVD S",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546017217",
"telephone_number": "608-785-0038"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFESPRINGS FOR HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-30",
"last_updated": "2010-06-30",
"status": "A",
"authorized_official_last_name": "RODRIGUEZ",
"authorized_official_first_name": "ABEL",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "608-788-8103"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Crosse, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.