Individual
JANE MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3424 MORMON COULEE RD, SUITE A, LA CROSSE, WI 54601-6750
(608) 788-4300
(608) 788-4325
Mailing address
3424 MORMON COULEE RD, SUITE A, LA CROSSE, WI 54601-6750
(608) 788-4300
(608) 788-4325
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2607
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100012687
—
WI
Enumeration date
01/11/2007
Last updated
02/10/2011
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