Individual
MRS. LYNDA CELESTE LUTZKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
S.76 W.19774 SUNNY HILL DR., MUSKEGO, WI 53150-9235
(262) 679-2399
Mailing address
S.76 W.19774 SUNNY HILL DR., MUSKEGO, WI 53150-9235
(262) 679-2399
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
985-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43893600
—
WI
Enumeration date
02/02/2006
Last updated
07/17/2015
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