Individual
LANCE W. WEAGANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2321 STOUT RD, MENOMONIE, WI 54751
(715) 235-9671
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0002
(715) 838-5222
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
42615-020
WI
207Q00000X
Family Medicine Physician
Primary
42615
WI
207Q00000X
Family Medicine Physician
A78798
CA
Other
Enumeration date
12/30/2005
Last updated
11/05/2025
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