Individual
DR. JOHN CLEMENS LANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
12 W MARSHALL ST, SUITE 100, RICE LAKE, WI 54868-2741
(715) 234-3301
(715) 736-1301
Mailing address
12 W MARSHALL ST, SUITE 100, RICE LAKE, WI 54868-2741
(715) 234-3301
(715) 736-1301
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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