Individual
LYNN D. REZACHEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
141 SIEGLER ST, GREEN BAY, WI 54303-2635
(920) 497-3126
Mailing address
630 N 7TH ST, MANITOWOC, WI 54220-3917
(920) 684-4989
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
82150-030
WI
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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