Misty Landon, LPN
Individual provider Active NPI Licensed Practical Nurse · Lancaster, WI
NPI 1194056929 · NPPES record last updated Jan 18, 2010
Key facts
- NPI
- 1194056929
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 311471-031 (WI)
- Practice address
- 438 N Harrison St
Lancaster, WI 53813-1021 - Phone
- (608) 723-4488
- NPI assigned
- Jan 18, 2010
- 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 |
|---|---|---|---|
| 311471-031 | WI | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 311471-031 | WI | Yes |
Addresses
Primary practice location
438 N Harrison St
Lancaster, WI 53813-1021
Mailing address
438 N Harrison St
Lancaster, WI 53813-1021
Phone (608) 723-4488
Other providers in Lancaster, WI
- Lancaster Community School District
- Lancaster Dental Associates
- Lancaster EMS, Inc.
- Lancaster Family Medical Center S.C.
- Lancaster Pharmacy LLC
- Nicole M Landon
- Ashley Marie Lang
- Christi Ann Larson
- Ryan Leibfried
- Samantha Leibfried
All providers in Lancaster, WI · Licensed Practical Nurse in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2010. 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.