SHANNON LANE

APPLETON, WI
NPI1386428811
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: WI  13535-33)
Enumeration Date2023-08-24
Last Update Date2026-02-24
Business Address
SHANNON LANE NP
2807 N BALLARD RD
APPLETON, WI 54911-8701
Phone number: 920-512-8822
Mailing Address
SHANNON LANE NP
108 LAMINE LN
COMBINED LOCKS, WI 54113-1100
Phone number:
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