Individual
LANTA WINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
11651 SHADY PINES DR, GRAND LEDGE, MI 48837-8152
(517) 488-3848
Mailing address
11651 SHADY PINES DR, GRAND LEDGE, MI 48837-8152
(517) 488-3848
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704276145
MI
Other
Enumeration date
06/16/2019
Last updated
10/07/2019
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