| Doctor Name: | LAWRENCE VERNON DULEK |
| NPI Number: | 1326062795 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RADC I |
| License Number: | 13822 |
| Business Practice Address: | 9415 West Forest Home Avenue Suite #108 Hales Corners, WI - 531301680 |
| Business Phone Number: | 4144274884 |
| Business Fax Number: | 4144274889 |
| Mailing Address: | 4555 West Schroeder Drive, Suite 170 MILWAUKEE |
| State: | WI |
| Postal Code: | 53223 |
| Phone Number: | 4143653210 |
| Fax Number: | 4143653225 |
| NPI Enumeration Date: | 07/27/2006 |
| NPI Last Update Date: | 03/27/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 13822 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |