Individual
LANEY EGGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
430 OXFORD ST, GRAND FORKS, ND 58202-6092
(701) 777-4174
Mailing address
621 BROKEN COVEY CT, DE PERE, WI 54115-7968
(920) 883-8792
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/05/2025
Last updated
09/05/2025
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