Provider Demographics
NPI:1083252506
Name:BUCHNER, LANA RAEGAMMON (MS LPC)
Entity type:Individual
Prefix:
First Name:LANA
Middle Name:RAEGAMMON
Last Name:BUCHNER
Suffix:
Gender:F
Credentials:MS LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2920 EAST AVE S STE 101
Mailing Address - Street 2:
Mailing Address - City:LA CROSSE
Mailing Address - State:WI
Mailing Address - Zip Code:54601-8282
Mailing Address - Country:US
Mailing Address - Phone:608-520-0334
Mailing Address - Fax:608-646-1715
Practice Address - Street 1:2920 EAST AVE S STE 101
Practice Address - Street 2:
Practice Address - City:LA CROSSE
Practice Address - State:WI
Practice Address - Zip Code:54601-8282
Practice Address - Country:US
Practice Address - Phone:608-520-0334
Practice Address - Fax:608-646-1715
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-16
Last Update Date:2025-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI10220-125101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health