Individual
MRS. KRISTINA LYNN LANCASTE-GASSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
607 BROAD ST, MENASHA, WI 54952-3123
(920) 268-5389
Mailing address
607 BROAD ST, MENASHA, WI 54952-3123
(920) 268-5389
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
307101-31
WI
Other
Enumeration date
02/19/2014
Last updated
02/19/2014
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