Most Relevant Information
Provider Data
| NPI Number: | 1003051988 |
| Provider Name: | NICOLE M LANDON R.N. |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 164618-030 |
Most Important Dates
| Enumeration Date: | 12/08/2008 |
| Last Updated: | 12/08/2008 |
Provider Practice Location
5499 W AIRPORT RD
LANCASTER
WI
538139610
Practice Location Phone/Fax
| Phone: | 6087232800 |
| Fax: |
Provider Mailing Location
5499 W AIRPORT RD
LANCASTER
WI
538139610
Provider Mailing Phone/Fax
| Phone: | 6087232800 |
| Fax: |