Provider Demographics
NPI:1013664168
Name:STEINHAUS, LANE
Entity Type:Individual
Prefix:
First Name:LANE
Middle Name:
Last Name:STEINHAUS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:N9074 CORNING RD
Mailing Address - Street 2:
Mailing Address - City:PORTAGE
Mailing Address - State:WI
Mailing Address - Zip Code:53901-9469
Mailing Address - Country:US
Mailing Address - Phone:608-697-1031
Mailing Address - Fax:
Practice Address - Street 1:N9074 CORNING RD
Practice Address - Street 2:
Practice Address - City:PORTAGE
Practice Address - State:WI
Practice Address - Zip Code:53901-9469
Practice Address - Country:US
Practice Address - Phone:608-697-1031
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-08
Last Update Date:2022-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program