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NPI Code Detail

MEDICARE: NICOLE LEE LANKEY PA

MEDICARE: NICOLE LEE LANKEY PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AS0400XSurgical Physician Assistant5802-23WI

General Provider Information

NPI Number : 1528644036
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE LEE LANKEY PA
Provider Business Mailing Address
First Line : 7974 UW HEALTH CT
Second Line :
City : MIDDLETON
State : WI
Zip : 53562-5531
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 600 HIGHLAND AVE
Second Line :
City : MADISON
State : WI
Zip : 53792-0001
Country : US
Telephone Number : 608-263-6190
Fax Number : 608-263-6199
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2021
Last Update Date : 05/15/2026

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Directions to “ NICOLE LEE LANKEY PA” Practice Location

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