Individual
MISTY LANDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
438 N HARRISON ST, LANCASTER, WI 53813-1021
(608) 723-4488
Mailing address
438 N HARRISON ST, LANCASTER, WI 53813-1021
(608) 723-4488
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
311471-031
WI
Other
Enumeration date
01/18/2010
Last updated
01/18/2010
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