| Lakeland Clinic Llc | |
|
610 West Ave Ste C Rice Lake WI 54868-1387 | |
| (715) 202-6727 | |
| Not Available |
| Full Name | Lakeland Clinic Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 610 West Ave Ste C, Rice Lake, Wisconsin |
| Authorized Official Name and Position | Paige Renee Harper (NURSE PRACTITIONER) |
| Authorized Official Contact | 3195739723 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeland Clinic Llc 610 West Ave Ste C Rice Lake WI 54868-1387 Ph: (715) 202-6727 | Lakeland Clinic Llc 610 West Ave Ste C Rice Lake WI 54868-1387 Ph: (715) 202-6727 |
| NPI Number | 1003587346 |
|---|---|
| Provider Enumeration Date | 09/27/2021 |
| Last Update Date | 09/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003587346 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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