Individual
KYLIE LOCHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1575 N RIVERCENTER DR, MILWAUKEE, WI 53212-3978
(414) 276-4242
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7585
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100254121
—
WI
Enumeration date
08/30/2023
Last updated
01/25/2024
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