Maryjo Lanska, MD is a
Pediatrics physician based in Tomah, Wisconsin. Maryjo Lanska is licensed to practice in Wisconsin (license number 40179) and her current practice location is 1330 N Superior Ave, Tomah, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(608) 372-4111.
NPI number for Maryjo Lanska is 1679579742 and her current mailing address is 1836 South Ave, La Crosse, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1679579742.
Physician's Profile
| Full Name | Maryjo Lanska |
|---|
| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 1330 N Superior Ave, Tomah, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1679579742
- Provider Enumeration Date: 06/23/2005
- Last Update Date: 12/11/2015
Medical Identifiers
Medical identifiers for Maryjo Lanska such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679579742 | NPI | - | NPPES |
| 32611300 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 40179 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Maryjo Lanska is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Maryjo Lanska, MD
1836 South Ave,
La Crosse, WI 54601-5429
Ph: (608) 782-7300 | Maryjo Lanska, MD
1330 N Superior Ave,
Tomah, WI 54660-1130
Ph: (608) 372-4111 |
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