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1639665763
LANIE E JOHNSON
MILWAUKEE, WI
NPI
1639665763
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Former Name
LANIE E RUDIE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 4853)
Enumeration Date
2018-07-01
Last Update Date
2023-03-22
Business Address
LANIE E JOHNSON PAC
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226-3522
Phone number: 414-955-0350
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Mailing Address
LANIE E JOHNSON PAC
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226-3522
Phone number: 414-955-0350
Copy
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