Individual
LYDIA J HUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
20 S PARK ST STE 505, MADISON, WI 53715-1348
(608) 287-2250
Mailing address
218 GLENWAY ST, MADISON, WI 53705-5232
(262) 308-9290
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
233797
WI
Other
Enumeration date
04/02/2020
Last updated
04/02/2020
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