Lanna Boyle

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

2642-19 Issued in WI

Practice address

E1132 Hillcrest Dr
Waupaca, WI 54981

Phone

(715) 412-2648

NPI assigned

Feb 19, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1518998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518998400000",
    "number": "1366942195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "E1332 HILLCREST DR",
            "city": "WAUPACA",
            "state": "WI",
            "postal_code": "549818749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "E1132 HILLCREST DR",
            "city": "WAUPACA",
            "state": "WI",
            "postal_code": "54981",
            "telephone_number": "715-412-2648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYLE",
        "first_name": "LANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-19",
        "last_updated": "2018-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WI",
            "license": "2642-19",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsey Bloom
• Stuart John Boelte, DC
• Jason Bonfiglio, PA
• Mellissa Borst, PT, DPT
• Josie Ann Bosquez
• Sherry Lyn Brasch
• George Breitenstein, PHARMACIST
• Hope Brock, L.AC.
• Alyssa Christine Brooks, D.C.
• Gilbert C Burgstede, M.D.

• Physical Medicine & Rehabilitation Physician in Waupaca, WI
• Providers in Waupaca, WI by specialty
• Physical Medicine & Rehabilitation Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.