Individual
LEANNE ANTHON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
603 FREMONT ST, LAKE MILLS, WI 53551-1021
(920) 988-4027
Mailing address
603 FREMONT ST, LAKE MILLS, WI 53551-1021
(920) 988-4027
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
169057-30
WI
Other
Enumeration date
12/09/2009
Last updated
12/09/2009
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