JANICE DAVIE MNT

LAKESHORE MEDICAL CLINIC LLC

Dr JANICE DAVIE MNT is a female medical professional, specializing in Registered Dietitian Or Nutrition Professional. She graduated in 1977.

Contact

LAKESHORE MEDICAL CLINIC LLC

2000 E LAYTON AVE
SAINT FRANCIS
WI
532356053

Tel: 4147446589

JANICE DAVIE MNT Information

Npi 1720123334
Pac Id 6901895663
Professional Enrollment Id I20040507001140
Last Name DAVIE
First Name JANICE
Middle Name
Suffix
Gender F
Credential MNT
Medical School Name OTHER
Graduation Year 1977
Primary Specialty REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name LAKESHORE MEDICAL CLINIC LLC
Group Practice Pac Id 7719890730
Number Of Group Practice Members 299
Line 1 Street Address 2000 E LAYTON AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City SAINT FRANCIS
State WI
Zip Code 532356053
Phone Number 4147446589
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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