Individual
WENDI LYNN LANEY-SHADLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1647 SASSAFRAS ST, ERIE, PA 16502-1858
(814) 454-2753
Mailing address
1647 SASSAFRAS ST, ERIE, PA 16502-1858
(814) 454-2753
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN259354L
PA
Other
Enumeration date
07/28/2009
Last updated
08/05/2013
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