Individual
CHAD LANOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1104 STATE ROAD 138, STOUGHTON, WI 53589-4049
(608) 719-8876
Mailing address
1104 STATE ROAD 138, STOUGHTON, WI, WI 53589
(608) 719-8876
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
221313
WI
Other
Enumeration date
02/13/2016
Last updated
02/13/2016
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