Provider Demographics
NPI:1245587690
Name:SCHEMEL, LANE MICHAEL (PHARMD)
Entity type:Individual
Prefix:DR
First Name:LANE
Middle Name:MICHAEL
Last Name:SCHEMEL
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:941 SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:DEFOREST
Mailing Address - State:WI
Mailing Address - Zip Code:53532-1403
Mailing Address - Country:US
Mailing Address - Phone:608-839-3704
Mailing Address - Fax:608-839-3705
Practice Address - Street 1:605 W COTTAGE GROVE RD
Practice Address - Street 2:
Practice Address - City:COTTAGE GROVE
Practice Address - State:WI
Practice Address - Zip Code:53527-9222
Practice Address - Country:US
Practice Address - Phone:608-839-3704
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-04
Last Update Date:2020-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN120998183500000X
WI19706-40183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist