Individual
LYNDSEY S MAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2105 E ENTERPRISE AVE, APPLETON, WI 54913-7862
(920) 560-1000
(920) 731-6732
Mailing address
2105 E ENTERPRISE AVE, APPLETON, WI 54913-7862
(920) 560-1000
(920) 731-6732
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
765
WI
363A00000X
Physician Assistant
Primary
4409-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100082767
—
WI
Enumeration date
12/06/2005
Last updated
01/21/2026
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