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Individual
MS. LYNNETTE J ANDERSON
Active
Individual
MS. LYNNETTE J ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1146
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002806261J
HUMANA
—
05
—
1841244969
—
WI
05
—
43991300
—
WI
Enumeration date
05/22/2006
Last updated
10/22/2012
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