Most Relevant Information
Provider Data
| NPI Number: | 1003053513 |
| Provider Name: | LANA L. ROEVER M.S., S.A.C.I.T. |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/21/2009 |
| Last Updated: | 01/21/2009 |
Provider Practice Location
926 S. 8TH STREET
MANITOWOC
WI
542211177
Practice Location Phone/Fax
| Phone: | 9206834230 |
| Fax: | 9206834908 |
Provider Mailing Location
PO BOX 1177
926 S. 8TH STREET
MANITOWOC
WI
542211177
Provider Mailing Phone/Fax
| Phone: | 9206834230 |
| Fax: | 9206834908 |