Provider First Line Business Practice Location Address:
MEMORIAL HOSPITAL OF LAFAYETTE COUNTY
Provider Second Line Business Practice Location Address:
800 CLAY ST
Provider Business Practice Location Address City Name:
DARLINGTON
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
53530-1228
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
608-776-4466
Provider Business Practice Location Address Fax Number:
608-776-5777
Provider Enumeration Date:
09/16/2005