Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LANCE FAY HASELTINE, M.D.
Active Sole ProprietorDR. LANCE FAY HASELTINE, M.D. is a General Practice healthcare provider located in SHELL LAKE, Wisconsin. NPI 1093010001 is currently active in the NPPES registry. Verify at CMS.
General Practice · SHELL LAKE, WI
Registration Details
- NPI Number
- 1093010001
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 22, 2011 (15.535115402809 yrs)
- Last Updated
- Mar 4, 2025
- Licenses
-
33541 (MN)35039-20 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
24521 POQUETTE LAKE RDSHELL LAKE, WI, 548719240Browse WI providers · Browse ZIP 54871
- Phone
- 6129914889
- Fax
- 7155698698
- Primary Specialty
-
General Practice
208D00000X
- Additional Specialty
- General Practice
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.