Individual
SALLY LYND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
304 OAKBROOK DR, LAKE MILLS, WI 53551-1947
(920) 988-9196
Mailing address
304 OAKBROOK DR, LAKE MILLS, WI 53551-1947
(920) 988-9196
Taxonomy
Speciality
Code
Description
License number
State
163WC1400X
College Health Registered Nurse
Primary
174037
WI
Other
Enumeration date
06/28/2016
Last updated
06/28/2016
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