Individual
WENDY LYDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
500 E VETERANS ST, TOMAH, WI 54660-3105
(608) 372-3971
Mailing address
1140 HEELER AVE, TOMAH, WI 54660-3125
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
122687-030
WI
Other
Enumeration date
02/22/2012
Last updated
02/22/2012
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