Individual
SUSANNE E. LANE-CRAGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
8900 W TOWER AVE, MILWAUKEE, WI 53224-2849
(414) 354-1714
Mailing address
8900 W TOWER AVE, MILWAUKEE, WI 53224-2849
(414) 354-1714
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
787-033
WI
Other
Enumeration date
11/05/2010
Last updated
11/05/2010
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