Individual
BAILEY L LANSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, AT
Contact information
Practice address
1160 KEPLER DR, GREEN BAY, WI 54311-8321
(920) 288-5630
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(920) 288-5536
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
14610-24
OH
225100000X
Physical Therapist
Primary
14610
WI
Other
Enumeration date
01/14/2020
Last updated
05/24/2021
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