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Ibtisam Rauf

Student in an Organized Health Care Education/Training Program in La Crosse, WI. Individual provider (NPI-1).

NPI number1922896331
StatusActive
Last updated in NPPESApr 26, 2025

Details

NPI
1922896331
Entity type
Individual (NPI-1)
Name
Ibtisam Rauf
Sex
Female
Sole proprietor
No
Enumeration date
Apr 26, 2025
Certification date
Apr 26, 2025
Last updated
Apr 26, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

1836 South Ave
La Crosse, WI 54601-5429

Phone 608-782-7300

Mailing address

1836 South Ave
La Crosse, WI 54601-5429

Phone 608-782-7300

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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