Individual
LYNNE M DEREZINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
5412 US HIGHWAY 10 E, STEVENS POINT, WI 54482-8559
(715) 346-5243
Mailing address
5412 US HIGHWAY 10 E, STEVENS POINT, WI 54482-8559
(715) 346-5243
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4200
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4200
WI STATE LIC
WI
Enumeration date
10/08/2010
Last updated
10/08/2010
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