Provider Demographics
NPI:1477825032
Name:ANDERSON, FRANCISKA JEAN (LAC)
Entity Type:Individual
Prefix:
First Name:FRANCISKA
Middle Name:JEAN
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:OREGON
Mailing Address - State:WI
Mailing Address - Zip Code:53575-1431
Mailing Address - Country:US
Mailing Address - Phone:608-835-9355
Mailing Address - Fax:608-835-8444
Practice Address - Street 1:106 N MAIN ST
Practice Address - Street 2:
Practice Address - City:OREGON
Practice Address - State:WI
Practice Address - Zip Code:53575-1431
Practice Address - Country:US
Practice Address - Phone:608-835-9355
Practice Address - Fax:608-835-8444
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-29
Last Update Date:2012-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI594-055171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist