Individual
NICOLE LEMMENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1726 SHAWANO AVE, GREEN BAY, WI 54303-3216
(920) 360-6194
Mailing address
2866 APPLE RIDGE CT, GREEN BAY, WI 54311-4101
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5487-23
WI
Other
Enumeration date
07/15/2021
Last updated
07/15/2021
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