Active NPI
Lanita Dorwin
- Home Modifications Contractor
- Durand, WI
National Provider Identifier
1104479955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Modifications Contractor
- License
- 1001999
- Practice address
- W4794 County Road B
Durand, WI 54736-4614 - Phone
- (715) 672-5679
- Fax
- (715) 672-5669
- NPI assigned
- Jul 22, 2019
- Last updated
- Jul 22, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Modifications Contractor | 171WH0202X | 1001999 | WI | Primary |
Addresses
Primary practice location
W4794 County Road B
Durand, WI 54736-4614
Mailing address
W4794 County Road B
Durand, WI 54736-4614
Phone (715) 672-5679
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1001999 | WI | MD | Home Modifications Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563753600000",
"number": "1104479955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W4794 COUNTY ROAD B",
"city": "DURAND",
"state": "WI",
"postal_code": "547364614",
"telephone_number": "715-672-5679",
"fax_number": "715-672-5669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "W4794 COUNTY ROAD B",
"city": "DURAND",
"state": "WI",
"postal_code": "547364614",
"telephone_number": "715-672-5679",
"fax_number": "715-672-5669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORWIN",
"first_name": "LANITA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-22",
"last_updated": "2019-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "171WH0202X",
"taxonomy_group": "",
"desc": "Contractor, Home Modifications",
"state": "WI",
"license": "1001999",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durand, WI
- Chippewa Valley Hospital & Oakview Care Center, Inc. (AdventHealth Durand)
- Chippewa Valley Hospital & Oakview Care Center, Inc. (AdventHealth Durand)
- City of Durand (Municipal Ambulance Service)
- Brady Didion
- Robert L Dohlman, MD
- Durand Optometry Clinic LLC
- Joseph L. Elsner, DO
- Essential Energy L.L.C.
- Nicole Kristine Gilles, FNP
- Katie Jo Hartung, MS, RD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.