Healthcare Provider Details

I. General information

NPI: 1811105851
Provider Name (Legal Business Name): LANA KAY HILBERT LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LANA KAY ROGERS

II. Dates (important events)

Enumeration Date: 05/21/2007
Last Update Date: 03/24/2023
Certification Date: 03/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

571 COUNTY ROAD A
GREEN LAKE WI
54941-8630
US

IV. Provider business mailing address

571 COUNTY ROAD A
GREEN LAKE WI
54941-8630
US

V. Phone/Fax

Practice location:
  • Phone: 920-294-4070
  • Fax: 920-294-4139
Mailing address:
  • Phone: 920-294-4070
  • Fax: 920-294-4139

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number4131
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: