Individual
MARY MACKENZIE LANE-PEOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
501 GOPHER DR, TOMAH, WI 54660-4513
(608) 372-2181
Mailing address
902 W VETERANS ST, TOMAH, WI 54660-2903
(608) 343-2443
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
17025-33
WI
Other
Enumeration date
07/07/2025
Last updated
07/07/2025
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