Canaday, Lucy R
Canaday, Lucy R is an individual health care provider with primary practice located at 107 E Highland Dr , Oconto Falls WI 54154-1002. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Canaday, Lucy R can be contacted via phone (920) 846-3092.Contact Information
Primary practice address
107 E Highland Dr
Oconto Falls WI 54154-1002
Phone: (920) 846-3092
Fax: (920) 846-8313
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 47569-20 | Wisconsin |
Profile Details
| NPI number | 1811958028 |
|---|---|
| LBN Legal business name | Canaday, Lucy R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2006 |
| Last updated | Sep 12th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811958028 | NPPES |
| Wisconsin | MEDICAID | 1811958028 | |
| Wisconsin | Other | 9932148 |
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