Individual
DR. JOHN CLEMENS LANEY
Active
Individual
DR. JOHN CLEMENS LANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
514
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29144
SECURITY HEALTH PLAN
WI
05
—
39059400
—
WI
01
—
5066
MARSHFIELD CLINIC
WI
01
—
81-285
WPS
WI
Enumeration date
12/16/2006
Last updated
07/08/2007
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