Doctor Name: | ROGER A LALICH |
NPI Number: | 1326038811 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DO |
License Number: | 21566 |
Business Practice Address: | 721 American Ave Suite 304 Waukesha, WI - 531885071 |
Business Phone Number: | 2625492229 |
Business Fax Number: | 2625491657 |
Mailing Address: | 721 American Ave, Suite 304 WAUKESHA |
State: | WI |
Postal Code: | 531885071 |
Phone Number: | 2625492229 |
Fax Number: | 2625491657 |
NPI Enumeration Date: | 10/26/2005 |
NPI Last Update Date: | 08/17/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 21566 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |