Individual
DR. NANCY LYNN KOTTRABA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
6658 ODANA ROAD, MADISON, WI 53719
(608) 829-1818
Mailing address
100 WISCONSIN AVENUE, UNIT 503, MADISON, WI 53703
(608) 225-5981
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2685
WI
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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