Sanders, Lana L

Sanders, Lana L is an individual health care provider with primary practice located at 430 E Division St , Fond Du Lac WI 54935-4560. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Sanders, Lana L can be contacted via phone (920) 926-4600.

Contact Information

Primary practice address
430 E Division St Fond Du Lac WI 54935-4560
Phone: (920) 926-4600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 46111-020 Wisconsin
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 46111 Wisconsin

Profile Details

NPI number 1376505933
LBN Legal business name Sanders, Lana L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Feb 5th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376505933 NPPES
Wisconsin MEDICAID 34480400

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