Provider Demographics
NPI:1700136496
Name:SERIER, CAROLYN JUNE (LAC)
Entity Type:Individual
Prefix:DR
First Name:CAROLYN
Middle Name:JUNE
Last Name:SERIER
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2352 COUNTY RD N
Mailing Address - Street 2:
Mailing Address - City:WOODVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:54028-7248
Mailing Address - Country:US
Mailing Address - Phone:715-684-5683
Mailing Address - Fax:715-684-5788
Practice Address - Street 1:2352 COUNTY RD N
Practice Address - Street 2:
Practice Address - City:WOODVILLE
Practice Address - State:WI
Practice Address - Zip Code:54028-7248
Practice Address - Country:US
Practice Address - Phone:715-684-5683
Practice Address - Fax:715-684-5788
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-11
Last Update Date:2012-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI310-55171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist