Individual
MR. TOUCHELLA LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
1050 PARK RIDGE AVE, OSHKOSH, WI 54901-1592
(920) 264-7033
Mailing address
1050 PARK RIDGE AVE, OSHKOSH, WI 54901-1592
(920) 264-7033
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10496-33
WI
Other
Enumeration date
12/09/2020
Last updated
12/09/2020
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