Healthcare Provider Details

I. General information

NPI: 1710809959
Provider Name (Legal Business Name): LILIAN JUDITH EHLERS DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

W329N4362 LAKELAND DR
NASHOTAH WI
53058-0017
US

IV. Provider business mailing address

28559 240TH ST
REINBECK IA
50669-8051
US

V. Phone/Fax

Practice location:
  • Phone: 262-563-1000
  • Fax: 262-563-1200
Mailing address:
  • Phone: 319-215-5195
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1417092909
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: