Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 35599 | WI |
N | 207RE0101X | Endocrinologist (Diabetes Doctor) | M9930 | ID |
NPI | 1053428599 |
---|---|
Provider Name | Dr. Beth M Lalande |
First Address | Menomonee Falls, WI 53051-0538 |
Second Address | Menomonee Falls, WI 53051-0538 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2006 |
Last Update Date | 16/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1053428599 | (05) | WI |
BL4088589 | DEA NUMBER (01) | |
G67798 | (02) |