Individual
NICOLE LEE LANKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5802-23
WI
363AS0400X
Surgical Physician Assistant
Primary
5802-23
WI
Other
Enumeration date
03/23/2021
Last updated
05/15/2026
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