Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lanette Rickborn, MD

Individual provider Urology Physician · NPI 1174985444

Lanette Rickborn, MD is an Urology in Augusta, Georgia. Qualified in 2016, 10 years ago. Practices with Phoebe Physician Group Inc, a 432-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia, Nevada and Wisconsin.

Years since qualifying
10
Licensed in
GA, NV, WI
In the registry since
2016
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1447 Harper Street Medical Ofc Bldg Ste 4G
Augusta, GA 30912-5703
Phone: (706) 721-3042
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1000 N Oak Ave, Marshfield, WI 54449-5703 — (715) 387-5511

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 101113 (GA)
Urology Physician Taxonomy 208800000X · Licence 83316-20 (WI)
Urology Physician Taxonomy 208800000X · Licence 20791 (NV)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1174985444
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 24, 2016
Last updated in NPPESApril 18, 2025
Certification dateApril 18, 2025
Mailing address1000 N Oak Ave, Marshfield, WI 54449-5703

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Phoebe Physician Group Inc — 432 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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