Individual
LANNA BOYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
E1132 HILLCREST DR, WAUPACA, WI 54981
(715) 412-2648
Mailing address
E1332 HILLCREST DR, WAUPACA, WI 54981-8749
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2642-19
WI
Other
Enumeration date
02/19/2018
Last updated
02/19/2018
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