Most Relevant Information
Provider Data
| NPI Number: | 1003594615 |
| Provider Name: | LANEA BARTEL PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 22165-40 |
Most Important Dates
| Enumeration Date: | 07/05/2023 |
| Last Updated: | 07/31/2024 |
Provider Practice Location
1614 CENTER ST STE 1
KEWAUNEE
WI
542161792
Practice Location Phone/Fax
| Phone: | 9203101616 |
| Fax: |
Provider Mailing Location
1614 CENTER ST STE 1
KEWAUNEE
WI
542161792
Provider Mailing Phone/Fax
| Phone: | 9203101616 |
| Fax: |