Individual
JEFFREY R LYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1633 W MAIN ST, SUN PRAIRIE, WI 53590-1839
(608) 837-7712
(608) 825-6638
Mailing address
1633 W MAIN ST, SUN PRAIRIE, WI 53590-1839
(608) 837-7712
(608) 825-6638
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
2193
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38797600
—
WI
Enumeration date
08/18/2005
Last updated
11/08/2012
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