Ms Leslee A Granke, APNP | |
15397 State Highway 32, Lakewood, WI 54138 | |
(715) 276-6321 | |
(715) 276-1428 |
Full Name | Ms Leslee A Granke |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 15397 State Highway 32, Lakewood, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407961402 | NPI | - | NPPES |
43836400 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 75395 (Wisconsin) | Secondary |
363L00000X | Nurse Practitioner | 133-033 (Wisconsin) | Primary |
Entity Name | The Lakes Community Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811178825 PECOS PAC ID: 0840366654 Enrollment ID: O20101019000186 |
Mailing Address | Practice Location Address |
---|---|
Ms Leslee A Granke, APNP 15954 Rivers Edge Dr Ste 304, Hayward, WI 54843-7894 Ph: (715) 634-2541 | Ms Leslee A Granke, APNP 15397 State Highway 32, Lakewood, WI 54138 Ph: (715) 276-6321 |
Peggy S Christianson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15397 State Highway 32, Lakewood, WI 54138 Phone: 715-276-6321 | |
Katelyn Boney, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15397 State Highway 32, Lakewood, WI 54138 Phone: 715-715-2766 Fax: 715-276-1428 | |
Samantha Ann Debroux, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15397 State Highway 32, Lakewood, WI 54138 Phone: 715-276-6321 | |
Mrs. Holly Marie Spletzer, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15397 Wi 32, Lakewood, WI 54138 Phone: 715-276-6321 | |
Mrs. Patricia Ann Kender, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15397 State Highway 32, Lakewood, WI 54138 Phone: 715-276-6321 Fax: 715-276-1428 |