Dixon, Lanan Rae
Dixon, Lanan Rae is an individual health care provider with primary practice located at 1400 Washington St Suite 3, Two Rivers WI 54241-3043. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Dixon, Lanan Rae can be contacted via phone (920) 553-8993.Contact Information
Primary practice address
1400 Washington St Suite 3
Two Rivers WI 54241-3043
Phone: (920) 553-8993
Fax: (920) 553-8990
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 4947-024 | Wisconsin |
Profile Details
| NPI number | 1104038165 |
|---|---|
| LBN Legal business name | Dixon, Lanan Rae |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2007 |
| Last updated | Jun 20th, 2008 - about 18 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 | 1104038165 | NPPES |
| Wisconsin | MEDICAID | 40295900 |
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