Individual
TABITHA N LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1721 SAEMANN AVE, SHEBOYGAN, WI 53081-2342
(920) 783-6633
Mailing address
1346 LENZ CT, SHEBOYGAN, WI 53083-4705
(920) 783-6633
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
1107208-30
WI
Other
Enumeration date
09/18/2025
Last updated
09/18/2025
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