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Individual

DR. CLAYTON LANHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
146 E GENEVA SQ, LAKE GENEVA, WI 53147-9695
(262) 249-4660
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9901
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100275199
WI
Enumeration date
03/23/2022
Last updated
09/12/2025
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