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Individual

JOHN LANCETTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS CCCA

Contact information

Practice address
1700 W STOUT ST, RICE LAKE, WI 54868-5000
(715) 236-8100
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5777
(715) 387-5511

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
87
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
41119300
WI
Enumeration date
08/21/2006
Last updated
11/17/2022
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