Individual
MOIRA M. LANCELOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
57762
WI
208000000X
Pediatrics Physician
57762
WI
Other
Enumeration date
12/04/2012
Last updated
12/04/2012
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