Provider Demographics
NPI:1891028924
Name:COGSWELL, MEGAN ANN (LPN)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:ANN
Last Name:COGSWELL
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 244
Mailing Address - Street 2:
Mailing Address - City:LA CROSSE
Mailing Address - State:WI
Mailing Address - Zip Code:54602-0244
Mailing Address - Country:US
Mailing Address - Phone:608-317-2383
Mailing Address - Fax:
Practice Address - Street 1:626 MEIER LN
Practice Address - Street 2:
Practice Address - City:ONALASKA
Practice Address - State:WI
Practice Address - Zip Code:54650-9088
Practice Address - Country:US
Practice Address - Phone:608-317-2383
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-08
Last Update Date:2009-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI311012-031164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse