Provider Demographics
NPI:1952368946
Name:LANCOUR, ELINOR KAY (RN)
Entity Type:Individual
Prefix:MS
First Name:ELINOR
Middle Name:KAY
Last Name:LANCOUR
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:229 PUMPHOUSE RD
Mailing Address - Street 2:
Mailing Address - City:CHIPPEWA FALLS
Mailing Address - State:WI
Mailing Address - Zip Code:54729-3812
Mailing Address - Country:US
Mailing Address - Phone:715-726-1827
Mailing Address - Fax:
Practice Address - Street 1:405 LILAC LN
Practice Address - Street 2:
Practice Address - City:LAKE MILLS
Practice Address - State:WI
Practice Address - Zip Code:53551-1649
Practice Address - Country:US
Practice Address - Phone:920-648-2621
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI41414-030163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health