Individual
LANELLE R WAECH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
855 N WESTHAVEN DR, OSHKOSH, WI 54904-7668
(920) 303-3266
Mailing address
855 N WESTHAVEN DR, OSHKOSH, WI 54904-7668
(920) 303-3266
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
111297
WI
Other
Enumeration date
05/08/2018
Last updated
05/08/2018
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