Individual
DR. LYNN MARIE CARLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
535 SOUTH MONROE AVE, GREEN BAY, WI 54301-4096
(920) 435-9511
(920) 435-9383
Mailing address
535 SOUTH MONROE AVE, GREEN BAY, WI 54301-4096
(920) 435-9511
(920) 435-9383
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1929
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
033704
AOA
WI
01
—
0752560001
P-TAN
WI
05
—
38524500
—
WI
Enumeration date
01/25/2006
Last updated
03/07/2023
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