Lanita Dorwin
Individual provider Active NPI Home Modifications Contractor · Durand, WI
NPI 1104479955 · NPPES record last updated Jul 22, 2019
Key facts
- NPI
- 1104479955
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Modifications Contractor 171WH0202X
- License
- 1001999 (WI)
- Practice address
- W4794 County Road B
Durand, WI 54736-4614 - Phone
- (715) 672-5679
- Fax
- (715) 672-5669
- NPI assigned
- Jul 22, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1001999 | WI | MD | Home Modifications Contractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Modifications Contractor | 171WH0202X | 1001999 | WI | Yes |
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
Other providers in Durand, WI
- Chippewa Valley Hospital & Oakview Care Center, Inc.
- Chippewa Valley Hospital & Oakview Care Center, Inc.
- City of Durand
- Brady Didion
- Robert L Dohlman
- Durand Optometry Clinic LLC
- Joseph L. Elsner
- Essential Energy L.L.C.
- Nicole Kristine Gilles
- Katie Jo Hartung
All providers in Durand, WI · Home Modifications Contractor in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.