Individual
DR. LYNN ANN VICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
2350 N LAKE DR, SUITE 409, MILWAUKEE, WI 53211-4528
(414) 271-7442
(414) 271-7530
Mailing address
2350 N LAKE DR, SUITE 409, MILWAUKEE, WI 53211-4528
(414) 271-7442
(414) 271-7530
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
910
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39026600
—
WI
Enumeration date
12/20/2006
Last updated
04/10/2013
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